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Minimally invasive calcaneal osteotomy: A cadaveric and clinical evaluation.
Jowett, Charlie R J; Rodda, David; Amin, Anish; Bradshaw, Anthony; Bedi, Harvinder S.
Afiliación
  • Jowett CR; Foot & Ankle Fellow, The Alfred Hospital, Commercial Road, Melbourne, VIC, Australia. Electronic address: charliejowett@hotmail.com.
  • Rodda D; Orthopaedic Surgery, BoxHill Public Hospital, 8 Arnold Street, Melbourne 3128, VIC, Australia.
  • Amin A; Orthopaedic Surgery, Royal Infirmary Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, Scotland.
  • Bradshaw A; Orthopaedic Surgery, 9 Gormly Avenue, Wagga Wagga 2650, NSW, Australia.
  • Bedi HS; OrthoSport Victoria, 4/32 Erin Street, Richmond, VIC, Australia.
Foot Ankle Surg ; 22(4): 244-247, 2016 Dec.
Article en En | MEDLINE | ID: mdl-27810022
BACKGROUND: A cadaveric and clinical study was performed to assess whether a minimally invasive technique is a potentially safer alternative compared to a calcaneal osteotomy through an open lateral approach. METHODS: Cadaveric: A minimally invasive calcaneal osteotomy (MICO) was performed on nine cadaveric specimens. These were examined to identify any nerve injury and to quantify the displacement achieved with the osteotomy. Clinical: A retrospective review of a sequential case series of medializing MICO's performed by the senior author between October 2011 and November 2014 was undertaken. RESULTS: Cadaveric: Neurological structures remained uninjured in all specimens. The distance of the sural nerve and the main trunk of the tibial nerve to the superior limb of the oblique osteotomy was 6.2±4.8mm (range 0-14mm) and 7.3±3.6mm (range 4-12mm), respectively. The mean coronal shift achieved was 16.7±3.4mm (range 12-21mm). Clinical: The senior author carried out 35 medializing MICO procedures. Radiological and clinical union occurred in all 35 cases (100%). There were no neurovascular or wound complications. CONCLUSION: Minimally invasive calcaneal osteotomy offers a safe alternative to an open procedure with promising clinical results.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Tornillos Óseos / Calcáneo Tipo de estudio: Etiology_studies / Evaluation_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Humans / Middle aged Idioma: En Revista: Foot Ankle Surg Asunto de la revista: ORTOPEDIA Año: 2016 Tipo del documento: Article Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Tornillos Óseos / Calcáneo Tipo de estudio: Etiology_studies / Evaluation_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Humans / Middle aged Idioma: En Revista: Foot Ankle Surg Asunto de la revista: ORTOPEDIA Año: 2016 Tipo del documento: Article Pais de publicación: Francia