title: Corrective Osteotomies for Malunited Extra-Articular Calcaneal Fractures.
abstract: The most effective way to treat calcaneal malunions is avoidance. With any articular fracture, progressive arthrosis and dysfunction are common. By restoring the anatomy initially through reduction, late reconstructive options become less complicated. Numerous studies have shown that restoration of the anatomic alignment either through percutaneous or open techniques is effective. In patients with no or minimal articular degeneration, extrarticular joint-sparing procedures can be performed. This represents a small select group who may benefit from simple osteotomy procedures with associated soft tissue reconstruction, if needed.
authors.affiliation: Department of Orthopaedic Surgery, University of Rochester, 601 Elmwood Ave., Box 665, Rochester, NY 14642, USA. Electronic address: john_ketz@urmc.rochester.edu.
authors.forename: John
authors.initials: J
authors.lastname: Ketz
authors.affiliation: University of South Florida Department of Orthopaedic Surgery, Florida Orthopaedic Institute, 13020 Telecom Parkway North, Tampa, FL 33637, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Clare
authors.affiliation: University of South Florida Department of Orthopaedic Surgery, Florida Orthopaedic Institute, 13020 Telecom Parkway North, Tampa, FL 33637, USA.
authors.forename: Roy
authors.initials: R
authors.lastname: Sanders
mesh_terms: D002111:Calcaneus / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D017759:Fractures, Malunited / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D006801:Humans; D010027:Osteotomy / Q000379:methods*; D011859:Radiography
keywords: Calcaneal malunion; Chronic peroneals dislocation; Exostectomy; Extra-articular correction; Joint preserving