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Malunited calaneal fracture: current concepts of treatment

https://doi.org/10.51922/1818-426X.2025.2.48

Abstract

Depending on the severity of residual deformity malunited calcaneal fractures may lead to significant restrictions of daily life and to invalidization of patients. Pathophysiology of malunited calcaneal fracture, diagnostics, classifications and current methods of surgical treatment are discussed in the article. Essential for proper pre-operative planning are weightbearing radiograms (hindfoot alignment view and lateral projection of the ankle and foot), which provide important information of the degree of deformity and the direction of the axial malalignments. Surgical treatment is aimed to pain-free function of the foot, what can be achieved by the restoration of correct height of the calcaneus and restoration of the correct axial alignment. Depending on the severity of the deformity, surgical treatment may include marginal calcaneal osteotomy, subtalar fusion in situ, different modifications of correcting subtalar fusion and/or calcaneal osteotomies. Current treatment modalities provide significant improvement of the functional condition of the foot with acceptable rate of complications.

About the Authors

A. Sitnik
РНПЦ травматологии и ортопедии
Belarus


A. Korzun
РНПЦ травматологии и ортопедии
Belarus


A. Beletsky
Национальная академия наук Беларуси
Belarus


A. Platonau
РНПЦ травматологии и ортопедии
Belarus


M. Gerasimenko
РНПЦ травматологии и ортопедии
Belarus


References

1. Yu, G.-R., Yu X. Surgical Management of Calcaneal Malunion // J Orthop Trauma Rehabil. – 2013. – Vol. 17, № 1. – P. 2–8.

2. Guan, X. et al. Malunited calcaneal fracture: the role and technique of osteotomy – a systematic review // International Orthopaedics. – 2021. – Vol. 45, № 10. – P. 2663–2678.

3. Rammelt, S., Marx C. Managing Severely Malunited Calcaneal Fractures and Fracture-Dislocations // Foot and Ankle Clinics. – 2020. – Vol. 25, № 2. – P. 239–256.

4. Krähenbühl, N. et al. The subtalar joint: A complex mechanism // EFORT Open Rev. – 2017. – Vol. 2, № 7. – P. 309–316.

5. Reilingh, M. L. et al. Measuring hindfoot alignment radiographically: the long axial view is more reliable than the hindfoot alignment view // Skeletal Radiol. – 2010. – Vol. 39, № 11. – P. 1103–1108.

6. Brilhault, J. Calcaneal osteotomy for hindfoot deformity // Orthopaedics and Traumatology: Surgery and Research. – 2022. – Vol. 108, № 1.

7. Tuijthof, G. J. M. et al. Overview of subtalar arthrodesis techniques: Options, pitfalls and solutions // Foot and Ankle Surgery. – 2010. – Vol. 16, № 3. – P. 107–116.

8. Stephens, H. M., Sanders R. Calcaneal malunions: results of a prognostic computed tomography classification system. // Foot ankle Int. – 1996. – Vol. 17, № 7. – P. 395–401.

9. Rammelt, S., Zwipp H. Corrective arthrodeses and osteotomies for post-traumatic hindfoot malalignment: indications, techniques, results // Int Orthop. – 2013. – Vol. 37, № 9. – P. 1707–1717.

10. Widnall, J., Mason L., Molloy A. Medial Approach to the Subtalar Joint // Foot and Ankle Clinics. – 2018. – Vol. 23, № 3. – P. 451–460.

11. Hintermann, B., Knupp M., Barg A. Osteotomies of the distal tibia and hindfoot for ankle realignment // Orthopade. – 2008. – Vol. 37, № 3. – P. 212–223.

12. LaPorta, G., Bock F., Ghate N. Posterior approach for subtalar joint distraction arthrodesis by compact external fixation: A technique guide // J Foot Ankle Surg. – 2013. – Vol. 52, № 4. – P. 547–552.

13. Hintermann, B. Laterale Verlängerungsosteotomie des Kalkaneus // Oper Orthop Traumatol. – 2015. – Vol. 27, № 4. – P. 298–307.


Review

For citations:


Sitnik A., Korzun A., Beletsky A., Platonau A., Gerasimenko M. Malunited calaneal fracture: current concepts of treatment. Medical Journal. 2025;(2):48-54. (In Russ.) https://doi.org/10.51922/1818-426X.2025.2.48

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ISSN 1818-426X (Print)