Subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy: A novel technique
Gold standard treatment for a malunited collapsed calcaneal fracture is distraction subtalar joint arthrodesis with structural graft. Various grafts are have been reported in the literature with femoral head or iliac crest allograft being most common. The present case report demonstrates a case of a...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-01-01
|
| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396724000806 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846123269136056320 |
|---|---|
| author | Ramez Sakkab, DPM, AACFAS Michael Radcliffe, DPM Marta L. Riniker, DPM, FACFAS Jeffrey E. McAlister, DPM, FACFAS |
| author_facet | Ramez Sakkab, DPM, AACFAS Michael Radcliffe, DPM Marta L. Riniker, DPM, FACFAS Jeffrey E. McAlister, DPM, FACFAS |
| author_sort | Ramez Sakkab, DPM, AACFAS |
| collection | DOAJ |
| description | Gold standard treatment for a malunited collapsed calcaneal fracture is distraction subtalar joint arthrodesis with structural graft. Various grafts are have been reported in the literature with femoral head or iliac crest allograft being most common. The present case report demonstrates a case of a 64-year-old female who presented two years after attempted subtalar joint fusion. The patient had pain recalcitrant to conservative care with clear bony collapse on weight bearing radiography and complete non-union on computed tomography. A novel technique is presented wherein a dorsally based posterior calcaneal osteotomy is performed and the removed bone wedge placed into the subtalar fusion to serve as structural autograft. The patient remained non-weight-bearing for 8 weeks post-operatively. Computed tomography was obtained at 6 months after surgery noting greater than 40% osseous bridging. The patient had improvement in all symptomatology and had complete return to activity from her baseline before the index surgery. Technique is illustrated along with description of details. |
| format | Article |
| id | doaj-art-7f0a069fada44443a1d20a1cb4f78f81 |
| institution | Kabale University |
| issn | 2667-3967 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj-art-7f0a069fada44443a1d20a1cb4f78f812024-12-14T06:34:00ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672024-01-0144100440Subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy: A novel techniqueRamez Sakkab, DPM, AACFAS0Michael Radcliffe, DPM1Marta L. Riniker, DPM, FACFAS2Jeffrey E. McAlister, DPM, FACFAS3Phoenix Foot & Ankle Institute Fellowship, 7301 2nd Ave Ste 206, Scottsdale, AZ 85251, United States; Corresponding author.University of Florida Jacksonville Medical Center, Jacksonville, FL, United StatesPhoenix Foot & Ankle Institute Fellowship, 7301 2nd Ave Ste 206, Scottsdale, AZ 85251, United StatesPhoenix Foot & Ankle Institute Fellowship, 7301 2nd Ave Ste 206, Scottsdale, AZ 85251, United StatesGold standard treatment for a malunited collapsed calcaneal fracture is distraction subtalar joint arthrodesis with structural graft. Various grafts are have been reported in the literature with femoral head or iliac crest allograft being most common. The present case report demonstrates a case of a 64-year-old female who presented two years after attempted subtalar joint fusion. The patient had pain recalcitrant to conservative care with clear bony collapse on weight bearing radiography and complete non-union on computed tomography. A novel technique is presented wherein a dorsally based posterior calcaneal osteotomy is performed and the removed bone wedge placed into the subtalar fusion to serve as structural autograft. The patient remained non-weight-bearing for 8 weeks post-operatively. Computed tomography was obtained at 6 months after surgery noting greater than 40% osseous bridging. The patient had improvement in all symptomatology and had complete return to activity from her baseline before the index surgery. Technique is illustrated along with description of details.http://www.sciencedirect.com/science/article/pii/S2667396724000806Hindfoot fusionZadekDisplacement osteotomyRevisionBone graft |
| spellingShingle | Ramez Sakkab, DPM, AACFAS Michael Radcliffe, DPM Marta L. Riniker, DPM, FACFAS Jeffrey E. McAlister, DPM, FACFAS Subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy: A novel technique Foot & Ankle Surgery: Techniques, Reports & Cases Hindfoot fusion Zadek Displacement osteotomy Revision Bone graft |
| title | Subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy: A novel technique |
| title_full | Subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy: A novel technique |
| title_fullStr | Subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy: A novel technique |
| title_full_unstemmed | Subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy: A novel technique |
| title_short | Subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy: A novel technique |
| title_sort | subtalar distraction arthrodesis with autograft from simultaneous calcaneal wedge osteotomy a novel technique |
| topic | Hindfoot fusion Zadek Displacement osteotomy Revision Bone graft |
| url | http://www.sciencedirect.com/science/article/pii/S2667396724000806 |
| work_keys_str_mv | AT ramezsakkabdpmaacfas subtalardistractionarthrodesiswithautograftfromsimultaneouscalcanealwedgeosteotomyanoveltechnique AT michaelradcliffedpm subtalardistractionarthrodesiswithautograftfromsimultaneouscalcanealwedgeosteotomyanoveltechnique AT martalrinikerdpmfacfas subtalardistractionarthrodesiswithautograftfromsimultaneouscalcanealwedgeosteotomyanoveltechnique AT jeffreyemcalisterdpmfacfas subtalardistractionarthrodesiswithautograftfromsimultaneouscalcanealwedgeosteotomyanoveltechnique |