Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results
Objectives To introduce our modified technique for calcanization of the tibia in managing massive bony loss of hindfoot and preliminary outcomes. Methods From January 2015 to December 2021, modified calcanization of the tibia were performed in 10 patients with unilateral loss of the calcaneus. Clini...
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| Format: | Article |
| Language: | English |
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Wiley
2024-09-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.14214 |
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| _version_ | 1846163984311386112 |
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| author | Rui Zhang Xiaoyu Wang Shenghe Liu Shuo Qiu Hongjiang Ruan Qinglin Kang |
| author_facet | Rui Zhang Xiaoyu Wang Shenghe Liu Shuo Qiu Hongjiang Ruan Qinglin Kang |
| author_sort | Rui Zhang |
| collection | DOAJ |
| description | Objectives To introduce our modified technique for calcanization of the tibia in managing massive bony loss of hindfoot and preliminary outcomes. Methods From January 2015 to December 2021, modified calcanization of the tibia were performed in 10 patients with unilateral loss of the calcaneus. Clinical outcomes were assessed based on the American Orthopaedic Foot & Ankle Society score and Symptom Checklist‐90‐Revised questionnaire. Paired two‐group t‐test was applied to compare the parameters. Results The mean lengthened length of the tibia was 77.3 ± 3.0 mm (range, 74–83 mm). The mean external fixation time was 123.7 ± 52.1 days (range, 117–134 days) and the mean external fixation index was 1.601 ± 0.046 days/mm. All patients stuck to the postoperative follow‐up plan with an average follow‐up time of 29.7 ± 3.4 months (range, 24–35 months). Deformities of the injured limbs were well corrected. Based on American Orthopaedic Foot & Ankle Society score, eight good and two fair results were achieved. The mental status of all patients was within the normal range, and several indices of the Symptom Checklist‐90‐Revised questionnaire of each patient were improved after the whole procedure. Conclusion We demonstrate that the modified calcanization of the tibia is qualified for total loss of calcaneus with limited complications. Early rehabilitation is attainable since external fixation time is shortened due to a simplified procedure. |
| format | Article |
| id | doaj-art-6ad10ddf92c34e3b91663dbaa7ae31d0 |
| institution | Kabale University |
| issn | 1757-7853 1757-7861 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj-art-6ad10ddf92c34e3b91663dbaa7ae31d02024-11-18T16:42:18ZengWileyOrthopaedic Surgery1757-78531757-78612024-09-011692202221010.1111/os.14214Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary ResultsRui Zhang0Xiaoyu Wang1Shenghe Liu2Shuo Qiu3Hongjiang Ruan4Qinglin Kang5Department of Orthopedics Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Orthopedics Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Orthopedics Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Orthopedics Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Orthopedics Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Orthopedics Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai ChinaObjectives To introduce our modified technique for calcanization of the tibia in managing massive bony loss of hindfoot and preliminary outcomes. Methods From January 2015 to December 2021, modified calcanization of the tibia were performed in 10 patients with unilateral loss of the calcaneus. Clinical outcomes were assessed based on the American Orthopaedic Foot & Ankle Society score and Symptom Checklist‐90‐Revised questionnaire. Paired two‐group t‐test was applied to compare the parameters. Results The mean lengthened length of the tibia was 77.3 ± 3.0 mm (range, 74–83 mm). The mean external fixation time was 123.7 ± 52.1 days (range, 117–134 days) and the mean external fixation index was 1.601 ± 0.046 days/mm. All patients stuck to the postoperative follow‐up plan with an average follow‐up time of 29.7 ± 3.4 months (range, 24–35 months). Deformities of the injured limbs were well corrected. Based on American Orthopaedic Foot & Ankle Society score, eight good and two fair results were achieved. The mental status of all patients was within the normal range, and several indices of the Symptom Checklist‐90‐Revised questionnaire of each patient were improved after the whole procedure. Conclusion We demonstrate that the modified calcanization of the tibia is qualified for total loss of calcaneus with limited complications. Early rehabilitation is attainable since external fixation time is shortened due to a simplified procedure.https://doi.org/10.1111/os.14214Calcaneus DefectCalcanizationFoot and AnkleFunctionReconstruction |
| spellingShingle | Rui Zhang Xiaoyu Wang Shenghe Liu Shuo Qiu Hongjiang Ruan Qinglin Kang Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results Orthopaedic Surgery Calcaneus Defect Calcanization Foot and Ankle Function Reconstruction |
| title | Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results |
| title_full | Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results |
| title_fullStr | Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results |
| title_full_unstemmed | Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results |
| title_short | Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results |
| title_sort | modified calcanization of tibia for hindfoot defect reconstruction method and preliminary results |
| topic | Calcaneus Defect Calcanization Foot and Ankle Function Reconstruction |
| url | https://doi.org/10.1111/os.14214 |
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