Abstract
Background
The purpose of this article was to introduce calcaneal lengthening for partial traumatic
loss of the calcaneus. Effectiveness with the use of the technique was also assessed.
Methods
From January 2013 to May 2016, calcaneal lengthening was performed in 15 patients
who sustained a partial traumatic loss of the tuberosity portion of calcaneus. There
were 13 men and 2 women with an average age of 36 years (range, 19–53 years). Combined
Achilles tendon rupture was noted in 7 patients, and the tendon was reinserted to
the calcaneus before calcaneal lengthening. Calcaneal lengthening was performed using
an Ilizarov frame. Clinical outcome was assessed based on the American Orthopedic
Foot and Ankle score.
Results
The mean loss of calcaneus was 27% (range, 19%–35%). Calcaneal lengthening (mean total
time is157 days; range, 111–226 days) included three periods, i.e., latency (mean
7 days; range, 7–9 days), distraction (mean 43 days; range, 32–57 days), and consolidation
(mean 108 days; range, 84–162 days). The mean amount of lengthening was 28% (range,
19%–38%). The mean follow-up duration was 25 months (range, 24–27 months). Based on
the American Orthopaedic Foot and Ankle, there were 8 excellent, 6 good, and 1 fair
result.
Conclusions
For the treatment of partial traumatic loss of the calcaneus, calcaneal lengthening
using an Ilizarov frame is a preferable technique to restore the length of calcaneus
and foot function.
Keywords
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Article info
Publication history
Published online: January 14, 2019
Accepted:
January 12,
2019
Identification
Copyright
© 2019 Elsevier Ltd. All rights reserved.
