Management of calcaneal malunion

Rahul Banerjee, Charles Saltzman, Robert B. Anderson, Florian Nickisch

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

The potential for disabling malunion following calcaneal fracture is high, regardless whether a patient is treated nonsurgically or surgically. Fracture displacement typically results in loss of hindfoot height, varus heel position, and widening of the hindfoot, with possible subfibular impingement and irritation of the peroneal tendon and/or sural nerve. Frequently, the subtalar joint develops posttraumatic arthritis. In symptomatic patients with calcaneal malunion, systematic evaluation is required to determine the source of pain. Nonsurgical treatment, such as activity modification, bracing, orthoses, and injection, is effective in many patients. Surgical treatment may involve simple osteotomy, subtalar arthrodesis with or without distraction, or corrective calcaneal osteotomy. A high rate of successful arthrodesis and of patient satisfaction has been reported with surgical management.

Original languageEnglish (US)
Pages (from-to)27-36
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume19
Issue number1
StatePublished - Jan 2011

Fingerprint

Arthrodesis
Osteotomy
Subtalar Joint
Orthotic Devices
Sural Nerve
Peroneal Nerve
Heel
Patient Satisfaction
Tendons
Arthritis
Pain
Injections
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Banerjee, R., Saltzman, C., Anderson, R. B., & Nickisch, F. (2011). Management of calcaneal malunion. Journal of the American Academy of Orthopaedic Surgeons, 19(1), 27-36.

Management of calcaneal malunion. / Banerjee, Rahul; Saltzman, Charles; Anderson, Robert B.; Nickisch, Florian.

In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 19, No. 1, 01.2011, p. 27-36.

Research output: Contribution to journalArticle

Banerjee, R, Saltzman, C, Anderson, RB & Nickisch, F 2011, 'Management of calcaneal malunion', Journal of the American Academy of Orthopaedic Surgeons, vol. 19, no. 1, pp. 27-36.
Banerjee R, Saltzman C, Anderson RB, Nickisch F. Management of calcaneal malunion. Journal of the American Academy of Orthopaedic Surgeons. 2011 Jan;19(1):27-36.
Banerjee, Rahul ; Saltzman, Charles ; Anderson, Robert B. ; Nickisch, Florian. / Management of calcaneal malunion. In: Journal of the American Academy of Orthopaedic Surgeons. 2011 ; Vol. 19, No. 1. pp. 27-36.
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