Comparison of rates of union and hardware removal between large and small cannulated screws for calcaneal osteotomy.

Abstract:

BACKGROUND:The calcaneal osteotomy is a common procedure to correct hindfoot malalignment. Reported union rates are high, utilizing fixation methods including staples, plates, and most commonly cannulated screws. We began our practice using 6.5 mm and 7.3 mm cannulated screws, but complaints of postoperative posterior heel pain led to hardware removal in many patients. A switch to smaller 4.5 mm cannulated screws resulted in fewer symptoms, thus we hypothesized that using a smaller screw would decrease screw removal while maintaining an equally high union rate. METHODS:The records of patients who underwent a calcaneal osteotomy by 2 surgeons between January 1996 and April 2012 were retrospectively reviewed. The rates of hardware removal and union were compared between osteotomies held with two 7.3 mm, 6.5 mm, and 4.5 mm cannulated screws. RESULTS:There were 272 feet that met the inclusion criteria. The hardware removal rate for 130 osteotomies held with two 7.3 mm screws was 29.2% and the removal rate for 115 osteotomies held with 4.5 mm screws was 13.0%, which was significantly different (P < .05). The removal rate for 27 osteotomies with 6.5 mm screws was 33.3%. The union rate for all groups was 100%. CONCLUSION:Fixation of calcaneal osteotomies with two 4.5 mm screws is advantageous over larger screws with respect to future hardware removal. There was no loss of position from the smaller screws and we feel that the 4.5mm cannulated screw provides sufficient compression and achieves a high rate of union equal to that of the larger screws. LEVEL OF EVIDENCE:Level IV, retrospective case series.

journal_name

Foot Ankle Int

authors

Sayres SC,Gu Y,Kiernan S,DeSandis BA,Elliott AJ,O'Malley MJ

doi

10.1177/1071100714549191

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

32-6

issue

1

eissn

1071-1007

issn

1944-7876

pii

1071100714549191

journal_volume

36

pub_type

杂志文章
  • Surgical correction of talipes equinovarus following foot and leg compartment syndrome.

    abstract::Between 1984 and 1994, 40 patients with a posttraumatic compartment syndrome of the lower leg and foot were treated for talipes equinovarus adductus foot deformity, which subsequently developed. Twenty patients had a wedge osteotomy followed by arthrodesis of the midtarsal joint (Chopart joint). Another 17 patients ha...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079601700607

    authors: Dávid A,Lewandrowski KU,Josten C,Ekkernkamp A,Clasbrummel B,Muhr G

    更新日期:1996-06-01 00:00:00

  • Plantar fasciitis: how successful is surgical intervention?

    abstract::Forty-three patients (47 heels) underwent decompression of the nerve to abductor digiti minimi with partial plantar fascia release for intractable plantar fasciitis over a 4-year period. Forty-one patients (45 heels) were available for follow-up. All of the patients had failed to respond to nonoperative treatment. The...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079902001209

    authors: Davies MS,Weiss GA,Saxby TS

    更新日期:1999-12-01 00:00:00

  • Pathogenesis, Evaluation, and Management of Osteolysis Following Total Ankle Arthroplasty.

    abstract::Periprosthetic osteolysis is a common occurrence after total ankle arthroplasty (TAA) and poses many challenges for the foot and ankle surgeon. Osteolysis may be asymptomatic and remain benign, or it may lead to component instability and require revision or arthrodesis. In this article, we present a current and compre...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720978426

    authors: Mehta N,Serino J,Hur ES,Smith S,Hamid KS,Lee S,Bohl DD

    更新日期:2020-12-21 00:00:00

  • Forefoot Reconstruction Following Metatarsal Head Resection Arthroplasty With a Plantar Approach-A 20-Year Follow-Up.

    abstract:BACKGROUND:Rheumatoid arthritis (RA) can cause significant forefoot disorders. If forefoot deformity and pain are severe, surgical treatment can be considered. The aim of this study was to analyze the long-term outcomes of surgical forefoot correction per Tillmann, which involves resection of the metatarsal heads throu...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719840814

    authors: Simon MJK,Strahl A,Mussawy H,Rolvien T,Schumacher RF,Seller M,Rüther W

    更新日期:2019-07-01 00:00:00

  • Relationship between tightness of the posterior muscles of the lower limb and plantar fasciitis.

    abstract:BACKGROUND:The aim of this study was to determine whether tightness of the posterior muscles of the lower extremity was associated with plantar fasciitis. METHODS:A total of 100 lower limbs of 100 subjects, 50 with plantar fasciitis and 50 matching controls were recruited. Hamstring and calf muscles were evaluated thr...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100712459173

    authors: Bolívar YA,Munuera PV,Padillo JP

    更新日期:2013-01-01 00:00:00

  • Influence of screw type on obtained contact area and contact force in a cadaveric subtalar arthrodesis model.

    abstract::The purpose of this study was to compare the compression effect of the 7.0-AO screw and the 6.5 mm Ideal Compression Screw (I.CO.S.) screw in an in vitro subtalar arthodesis model. Six fresh-frozen, human cadaver foot specimens were obtained for analysis. The subtalar joint was opened laterally without affecting the a...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202301102

    authors: Hintermann B,Valderrabano V,Nigg B

    更新日期:2002-11-01 00:00:00

  • A comprehensive study of pressure distribution in the ankle joint with inversion and eversion.

    abstract::The understanding of load transfer characteristics is the baseline for biomechanics of the ankle joint. Changes in contact patterns of the articular cartilage from the norm may indicate pathologic conditions. Measurement of the contact in human cadaver ankles provides a direct measurement for this understanding. The f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079401500307

    authors: Calhoun JH,Li F,Ledbetter BR,Viegas SF

    更新日期:1994-03-01 00:00:00

  • J.Leonard Goldner Award 2008. Effect of extracorporeal shock wave therapy on cultured tenocytes.

    abstract:BACKGROUND:Little has been reported about the biologic effect of shock waves on human normal or pathologic tendon tissue. We hypothesized that inflammatory cytokine and MMP production would be down-regulated by shock wave stimulation. MATERIALS AND METHODS:Diseased Achilles tendon tissue and healthy flexor hallucis lo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI-2009-0093

    authors: Han SH,Lee JW,Guyton GP,Parks BG,Courneya JP,Schon LC

    更新日期:2009-02-01 00:00:00

  • Fracture of an interphalangeal coalition: a report of two cases.

    abstract::Congenital coalition of the middle and distal phalanges in the fifth toe are common. They have been reported to occur in up to 50% of American and European populations and in up to 73% of people of Japanese descent. Congenital interphalangeal coalition of the other toes is less common. We report two cases of fracture ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070002100812

    authors: Sammarco GJ,Hockenbury RT

    更新日期:2000-08-01 00:00:00

  • Change in the First Cuneiform-Second Metatarsal Distance After Simulated Ligamentous Lisfranc Injury Evaluated by Weightbearing CT Scans.

    abstract:BACKGROUND:This study aimed to investigate the widening between the first cuneiform (C1) and second metatarsal (M2) in a Lisfranc ligamentous complex (LLC) joint injury model subjected to successive ligament dissections evaluated by weightbearing computed tomography (CT) scans. METHODS:Twenty-four intact cadaveric fee...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720938331

    authors: Sripanich Y,Weinberg M,Krähenbühl N,Rungprai C,Saltzman CL,Barg A

    更新日期:2020-11-01 00:00:00

  • Operative treatment for hallux valgus in children with cerebral palsy.

    abstract::All patients with cerebral palsy who had hallux valgus and bunion deformities surgically corrected between 1986 and 1995 were reviewed to determine whether techniques other than arthrodesis of the first metatarsophalangeal joint would adequately correct these deformities. Twenty-six feet of 17 patients were surgically...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079801901207

    authors: Jenter M,Lipton GE,Miller F

    更新日期:1998-12-01 00:00:00

  • Allograft Tendon Interposition Arthroplasty of the Hallux Metatarsophalangeal Joint: A Technique Guide and Literature Review.

    abstract::The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.1177/1071100718807738

    authors: Watson TS,Panicco J,Parekh A

    更新日期:2019-01-01 00:00:00

  • Tibiotalocalcaneal arthrodesis: a biomechanical analysis of the rotational stability of the Biomet Ankle Arthrodesis Nail.

    abstract::We hypothesized that the posterior-to-anterior (PA) calcaneal interlocking screw of the Biomet Ankle Arthrodesis Nail would increase rotational stability secondary to increased bone purchase compared with the standard lateral-to-medial (transverse) screw. Each of 10 fresh human cadaver lower limbs (five matched pairs)...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070102200908

    authors: Mann MR,Parks BG,Pak SS,Miller SD

    更新日期:2001-09-01 00:00:00

  • Nonoperative treatment of fifth metatarsal fractures in an orthopaedic suburban private multispeciality practice.

    abstract:BACKGROUND:The purpose of this study was to review consecutive fifth metatarsal fractures in the author's (KFK) practice from August, 1999, to November, 2003. METHODS:During this period 64 patients (66 fractures; 35 tuberosity fractures, 10 Jones fractures, three stress fractures, two segmental shaft fractures and 16 ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502600907

    authors: Konkel KF,Menger AG,Retzlaff SA

    更新日期:2005-09-01 00:00:00

  • Proximal phalanx and flexor digitorum longus tendon biomechanics in flexor to extensor tendon transfer.

    abstract:BACKGROUND:The flexor to extensor transfer of the flexor digitorum longus (FDL) tendon has been a relatively common operative procedure for the treatment of a flexible hammer toe deformity and chronic metatarsophalangeal (MTP) joint dislocation. A possible complication of using the tunnel technique rather than the tend...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714565927

    authors: DiPaolo ZJ,Ross MS,Laughlin RT,Gould G,Flower K,Kiger L,Markert RJ

    更新日期:2015-05-01 00:00:00

  • The mechanical properties of the heel pad in unilateral plantar heel pain syndrome.

    abstract::Plantar heel pain syndrome has been attributed to entrapment neuropathy, plantar fasciitis, calcaneal spurs, and stress fractures of the calcaneus. Although deteriorated mechanical properties of the heel pads may play an important role in the pathogenesis of heel pain syndrome, this has received little notice. In this...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079902001010

    authors: Tsai WC,Wang CL,Hsu TC,Hsieh FJ,Tang FT

    更新日期:1999-10-01 00:00:00

  • Achilles tendon torsion has no effect on percutaneous triple-cut tenotomy results.

    abstract:BACKGROUND:Achilles tendon lengthening is an important part of the operative management of numerous foot and ankle disorders. The most commonly used percutaneous technique involves three hemitenotomies: medial, lateral, and medial. The discovery that Achilles tendon fibers may undergo external torsion created concern t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070602701116

    authors: Hoffman B,Nunley J

    更新日期:2006-11-01 00:00:00

  • Benign calcaneal bone cyst and pathologic fracture--surgical treatment with injectable calcium-phosphate bone cement (Norian): a case report.

    abstract::Solitary calcaneal bone cysts are uncommon. Usually they measure 1/3 to 1/2 of the calcaneal length. Symptomatic calcaneal bone cysts are generally treated with open debridement and autologous bone grafting. We report a case of a patient with a displaced intra-articular calcaneal fracture who presents with a large ben...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070102200610

    authors: Csizy M,Buckley RE,Fennell C

    更新日期:2001-06-01 00:00:00

  • Autogenous bone grafting of hallux sesamoid nonunions.

    abstract::We first performed autogenous bone grafting for lesions of the hallux sesamoid in 1984. During the next 9 years, 21 patients (11 men and 10 women with an average age of 34 and 32 years, respectively) underwent this surgical procedure for symptomatic tibial hallux sesamoid non-unions. Successful bony union was achieved...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800509

    authors: Anderson RB,McBryde AM Jr

    更新日期:1997-05-01 00:00:00

  • Influence of age, body mass index and leg dominance on functional ankle stability.

    abstract:BACKGROUND:The aim of this study was to examine the influence of age, body mass index (BMI) and leg dominance on the PRT, balance control and foot position sense. MATERIALS AND METHODS:The proprioception of the ankle was investigated in 210 participants. All participants completed a questionnaire. The PRT was measured...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2010.0423

    authors: Rein S,Fabian T,Zwipp H,Mittag-Bonsch M,Weindel S

    更新日期:2010-05-01 00:00:00

  • Topical review: locking plate technology in foot and ankle surgery.

    abstract::The use of locking plate technology in foot and ankle surgery has increased over the last decade. Reported applications include fracture repair, deformity correction, and arthrodesis. There is limited evidence, however, to guide clinicians with regard to the appropriate and optimal use of this technology. This work ai...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,评审

    doi:10.1177/1071100714523274

    authors: Jastifer JR

    更新日期:2014-05-01 00:00:00

  • Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis.

    abstract:BACKGROUND:The traditional operative management of Haglund deformity and retrocalcaneal bursitis consists of an open excision of the inflamed bursa, resection of the posterosuperior calcaneal tuberosity, and debridement of the Achilles tendinopathy. In an effort to reduce morbidity and recovery time, an endoscopic tech...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.0149

    authors: Ortmann FW,McBryde AM

    更新日期:2007-02-01 00:00:00

  • Predictors of peroneal pathology in Broström-Gould ankle ligament reconstruction for lateral ankle instability.

    abstract:BACKGROUND:Chronic ankle instability has a well-known association with intra- and extraarticular ankle pathologies, including peroneal tendonitis and subluxation. Patients with peroneal pathology are at risk for failure of conservative treatment for their ankle instability, thus identifying these patients is important ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714556759

    authors: Burrus MT,Werner BC,Hadeed MM,Walker JB,Perumal V,Park JS

    更新日期:2015-03-01 00:00:00

  • Histology and histomorphometric analysis of the normal and atrophic heel fat pad.

    abstract::Light and electron microscopy was used for a histologic examination of normal heel fat pads and atrophic heel fat pads from patients with peripheral neuropathies. Histomorphometric analysis revealed an average 30% smaller mean cell area and 16% smaller mean cell diameters in the atrophic pads compared with the normal ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079501600502

    authors: Buschmann WR,Jahss MH,Kummer F,Desai P,Gee RO,Ricci JL

    更新日期:1995-05-01 00:00:00

  • Readability of the Patient Education Section of the AOFAS Website.

    abstract:BACKGROUND:One of the goals of the AOFAS website is to provide easily understandable information about orthopaedic foot and ankle conditions to the public. However, validation of this goal has not been conducted. Evaluation of text reading level is frequently performed using the Flesch-Kincaid formula (FKF). This study...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2009.0287

    authors: Bluman EM,Foley RP,Chiodo CP

    更新日期:2009-04-01 00:00:00

  • Intrachondral microvasculature in the human fetal talus.

    abstract::The intrachondral microvasculature of the growing talus of human was studied in 16 fetuses aged from 15 to 44 weeks of gestation, using interrupted serial sections and vascular injection of ink. The cartilage model of the talus was shown to be well vascularized throughout by cartilage canals. The cartilage canal conta...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800604

    authors: Cheng X,Wang Y,Qu H

    更新日期:1997-06-01 00:00:00

  • Ankle stability in simulated lateral ankle ligament injuries.

    abstract:BACKGROUND:We performed a laboratory-based study of the ankle-hindfoot complex in normal cadaveric ankles with simulated lateral ankle ligament injuries, utilizing an ankle stability testing device. The ankle stability testing device distinguished between intact, injury to anterior talofibular ligament (ATFL) and combi...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2010.0531

    authors: Fujii T,Kitaoka HB,Watanabe K,Luo ZP,An KN

    更新日期:2010-06-01 00:00:00

  • Describing the medial longitudinal arch using footprint indices and a clinical grading system.

    abstract:BACKGROUND:The current literature is not clear regarding the best method of determining medial longitudinal arch (MLA) height. Differences in MLA height can significantly alter lower extremity biomechanics; therefore, an accurate and reproducible assessment of arch height is essential for clinical evaluation and future...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.0456

    authors: Queen RM,Mall NA,Hardaker WM,Nunley JA 2nd

    更新日期:2007-04-01 00:00:00

  • Circular external fixator-assisted ankle arthrodesis following failed total ankle arthroplasty.

    abstract:BACKGROUND:Failed total ankle arthroplasty (TAA) often results in significant bone loss and requires salvage arthrodesis. This study quantified the bone loss following failed TAA and reports the outcome of seven arthrodesis reconstructions using the Ilizarov method. METHODS:A retrospective review of ankle fusions was ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0947

    authors: McCoy TH,Goldman V,Fragomen AT,Rozbruch SR

    更新日期:2012-11-01 00:00:00

  • Stress fractures and tibial cortical hypertrophy after tibiotalocalcaneal arthrodesis with an intramedullary nail.

    abstract::Twelve patients underwent successful tibiotalocalcaneal arthrodesis using a locked intramedullary nail with posterior moldable bone grafting. Two of the patients developed a nondisplaced stress fracture around the proximal interlocking screws, which responded to immobilization at 8 and 15 months after surgery. In 7 of...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079902000806

    authors: Thordarson DB,Chang D

    更新日期:1999-08-01 00:00:00