Treatment of malunited calcaneus fracture with subtalar distraction bone block fusion / 中华外科杂志
Chinese Journal of Surgery
;
(12): 655-657, 2010.
Artigo
em Chinês
| WPRIM
| ID: wpr-360767
ABSTRACT
<p><b>OBJECTIVE</b>To report and evaluate the results of subtalar distraction bone block fusion in the treatment of malunited calcaneus fracture.</p><p><b>METHODS</b>From September 2004 to January 2008, 32 cases of malunited calcaneus fracture were treated, among which 28 cases were classified type II and 4 cases type III by Stephens-Sander's classification. Preoperative X-ray and CT examination demonstrated a talocalcaneal angle of 18.1 degrees ± 2.3 degrees , and an AOFAS score of 36.3 ± 4.1. Subtalar distraction bone block fusion was performed in all cases in this series. Regular follow-up was done with talocalcaneal angle measurement and AOFAS scoring.</p><p><b>RESULTS</b>All the 32 patients had been followed-up of 34 months, ranging from 24 to 65 months, only to reveal a primary wound healing without infection in all but one, in which superficial skin necrosis occurred postoperatively and healed after dressing-changes. Bone healing at the fusion site was seen 3 months after operation in all cases. At the final follow-up, the talocalcaneal angle was 22.9° ± 1.9° and the AOFAS score 77.5 ± 4.1, both demonstrating a significant difference (P < 0.05), when compared with those before operation.</p><p><b>CONCLUSION</b>Subtalar distraction bone block fusion, together with the lateral wall decompression, can correct the main deformity and reduce major symptoms induced by the malunion of calcaneus fractures, being a convenient and practical option for the treatment of malunited calcaneus fracture.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artrodese
/
Cirurgia Geral
/
Articulação Talocalcânea
/
Seguimentos
/
Transplante Ósseo
/
Resultado do Tratamento
/
Consolidação da Fratura
/
Fraturas Mal-Unidas
/
Métodos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2010
Tipo de documento:
Artigo
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