Subtalar arthrodesis with calcaneal osteotomy

Der Orthopäde
Hans Zwipp, Stefan Rammelt

Abstract

The amount of postraumatic deformities of the calcaneus after fracture is classified in 5 types (Type I-V). The bony situation includes in the simple group A malunions, in group B the more demanding nonunions and in Group C the worst cases with additional aseptic or septic necrosis of parts of the calcaneus. For type I with posttraumatic arthritis of the subtalar joint and without malalignement, an in situ-arthrodesis is suitable. Type II, with an additional varus- or valgus hind foot deformity, but especially in type III with additional loss of height and dorsal tilting of the talus a bone block distraction arthrodesis is required. Type IV includes, additionally to the pathology of type I to type III, a lateral translation of the calcaneus. This indirectly causes a severe hind foot valgus and an abutment of the posterior facet towards the lateral malleolus. This type needs osteotomy of the calcaneus through the old fracture surfaces, performed using a bilateral approach. Type V is very rare but the most difficult one for reconstructive surgery because the talus is additionally tilted out of the ankle joint. Therefore, in addition to the bilateral approach and calcaneal osteotomy, an anteromedian approach to the ankle joint is ...Continue Reading

References

Sep 1, 1995·Foot & Ankle International·C L Saltzman, G Y el-Khoury
Jul 20, 2001·Der Unfallchirurg·C Dahlen, H Zwipp
Sep 10, 2005·Der Unfallchirurg·H ZwippS Barthel

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Citations

Dec 10, 2013·Operative Orthopädie und Traumatologie·H ZwippC Dürr
Dec 18, 2007·Archives of Orthopaedic and Trauma Surgery·Tim Schepers, Peter Patka
Sep 24, 2008·Archives of Orthopaedic and Trauma Surgery·Mujde UygurYelda Pinar
Sep 4, 2014·Der Unfallchirurg·S RammeltH Zwipp
Mar 22, 2013·Journal of Orthopaedic Trauma·Stefan RammeltHans Zwipp
Feb 20, 2016·Operative Orthopädie und Traumatologie·R A Fuhrmann, T Pillukat

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