Calcaneal Displacement Osteotomies - Less Soft Tissue Irritation in Lateral Compression Plate than Screws
Language English Country Czech Republic Media print
Document type Comparative Study, Journal Article
PubMed
30257770
Knihovny.cz E-resources
- MeSH
- Outcome Assessment, Health Care MeSH
- Bone Plates MeSH
- Bone Screws MeSH
- Bony Callus diagnostic imaging MeSH
- Middle Aged MeSH
- Humans MeSH
- Osteotomy * adverse effects instrumentation methods MeSH
- Calcaneus surgery MeSH
- Flatfoot diagnosis surgery MeSH
- Postoperative Complications * diagnosis etiology prevention & control MeSH
- Soft Tissue Injuries * diagnosis etiology prevention & control MeSH
- Comparative Effectiveness Research MeSH
- Fracture Fixation, Internal * adverse effects instrumentation methods MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Comparative Study MeSH
- Geographicals
- Germany MeSH
UNLABELLED: PURPOSE OF THE STUDY With the concept of the lateral compression plate (LLCP) a technique has been available designed to combine the advantages of a fixed-angle fixation with a complete sinking of the implant into the proximal bone. The objective of the present study was to investigate the results of the LLCP compared with classical screw osteosynthesis (SO). MATERIAL AND METHODS 31 patients with pes planovalgus who received calcaneal displacement osteotomy and osteosyntheses with screws (n = 17) or LLCP (n = 14) between 2010 and 2015 were investigated retrospectively.The ankle-hindfoot scale, Kaikkonen score, VAS, and the SF-36 were determined preoperatively as well as at the last clinical follow-up. In addition, a radiological control of osseous integration was performed in all patients 12 weeks after surgery. RESULTS With regard to clinical scores both methods depicted significant improvement. In the overall cohort there were no pseudarthroses. In the SO group 5 cases (29%) showed hardware irritation, in the LLCP group there were none. Results in the LLCP group were significantly superior in the area of the physical section of the SF 36. CONCLUSIONS Based on the results of our study, surgical treatment of stage II pes planovalgus by means of calcaneal displacement osteotomy using the LLCP is equivalent to SO with a lower incidence of hardware irritation. Key words:pes planovalgus, lateral compression plate, osteosynthesis, screw, hardware irritation. LEVEL OF EVIDENCE: Level IV, retrospective case serie.