Biometry of the calcaneus for the benefit of the surgical technique: Cadaver study
DOI:
https://doi.org/10.1016/j.rccot.2020.07.009Keywords:
calcaneus, biometry of calcaneus, calcaneal fractureAbstract
Background: The appropriate choice of osteosynthesis material in the surgical technique of internal fixation in calcaneal fractures is of greatimportance, since it varies from one population to another. In the management of calcaneal fractures, the material is often not adapted to the size and morphology of each patient. A study was carried out to describe the biometric characteristics of the calcaneus, for a better understanding of the dimensions of this bone in our population.
Methods: A descriptive study was conducted on 31 bone pieces of calcaneus. The maximum length, height, and length of the lateral wall to the posterior third of sustentaculum tali were measurement and, based on safety zones for risk of anatomical injury; the width was measured in each zones. The angles of Böhler and Gissane were measured by photographs and radiographs.
Results: The maximum length had a mean of 67.14 ± 4.51 mm, the mean of the length of the lateral wall to the posterior third of sustentaculum tali was 34.82 ± 3.28 mm, and the mean of the height was 40.11 ± 3.40 mm. The width was taken at 6 different points, observing that the zone IIIB has a greater width, with a mean of 25.35 ± 2.67 mm. The mean of the Böhler and Gissane angles was 25.45◦±4.80 and 25.86◦±6; 122.9◦±5.81 and 114.15◦±9.86; respectively.
Discussion: Measurements of our sample are smaller compared to other populations. However, the angles showed no greater variation. These findings can be used to conduct comparative studies between populations, for evaluating pathological conditions, and adaptations of therapeutic protocols.
Level of evidence: IV
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References
Sarrafian S, Kelikian A. Ostology. En: Kelikian A, editor. Anatomy of the Foot and Ankle. 3th ed. Philadelphia: Lippincott Williams & Wilkins; 2011. p. 61-4.
Anderson R, Cohen B. Stress Fractures on the foot and ankle. En: Coughlin M, Saltzman C, Anderson R, Mann R, editores. Mann’s surgery of the foot and ankle. 1st ed. Philadelphia: Elsevier; 2014. p. 1703-4.
Herrera-Perez M, Gutiérrez-Morales M, Valderrabano V, Wiewiorski M, Pais-Brito J. Fracturas de calcáneo: controversias y consensos. Rev Pie Tobillo. 2016;30:1-12, https://ac.elscdn.com/S1697219816301136/dx.doi.org/10.1016/j.rptob.2016.04.005.
Gotha H, Zide J. Current Controversies in Management of Calcaneus Fractures. Orthop Clin N Am. 2017;48:1-13, http://dx.doi.org/10.1016/j.ocl.2016.08.005.
Wang Z, et al. Minimally invasive (sinus tarsi) approach for calcaneal fractures. J Orthop Surg Res. 2016;11:164, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5180402/.
Iamsaard S, Uabudit S, Boonruangsri P, Sawatpanich T, Hipkaeo W. Types of facets on the superior articular surface of Isan-Thai dried calcanei. Int. J. Morphol. 2015;33:1549-52, http://www.scielo.cl/pdf/ijmorphol/v33n4/art58.pdf.
Linklater J, Hayter CL, Vu D, Tse K. Anatomy of the subtalar joint and imaging of talo- calcaneal coalition. Skeletal Radiol. 2009;38:437-49, https://doi.org/10.1007/s00256-008-0615-4.
Bonnel F, Teissier P, Colombier JA, Toullec E, Assi C. Biometry of the calcaneocuboid joint: biomechanical implications. Foot Ankle Surg. 2013;19:70-5, http://dx.doi.org/10.1016/j.fas.2012.12.001.
Bonnel F, Teissier P, Maestro M, Ferré B, Toullec E. Biometry of bone components in the talonavicular joint: A cadaver study. Orthopaedics & Traumatology: Surgery & Research.2011;97:66-73.
Sakahue K. Sex Assessment from the Talus and Calcaneus of Japanese. Bull. Natl. Mus. Nat. Sci. 2011;37:35-48.
Labronici P, et al. Safe localization for placement of percutaneous pins in the calcaneus. Rev Bras Ortop. 2012;47:455-9.
Clare M, Sanders R. Calcaneus Fractures. En: Court-Brown CM, Heckman JD, McQueen MM, Ricci WM, Tornetta P, editores. Rockwood and Green’s Fractures in adults. 8th ed. Philadelphia: Lippincott Williams & Wilkins.; 2015. p. 2639-50.
Böhler L. Diagnosis, pathology, and treatment of fractures of the os calcis. J Bone Joint Surg. 1931;13:75-89.
Banerjee R, Saltzman C, Anderson RB, Nickisch F. Management of calcaneal malunion. J Am Acad Orthop Surg. 2011;19:27-36.
Otero JE, et al. There is poor reliability of Böhler’s angle and the crucial angle of Gissane in assessing displaced intra-articular calcaneal fractures. Foot and Ankle Surgery. 2015;21:1-5, http://dx.doi.org/10.1016/j.fas.2015.03.001.
Su Y, Chen W, Zhang T, Wu X, Wu Z, Zhanget Y. Bohler´s angle´s role in assessing the injury severity and functional outcome of internal fixation for displaced intra- articular calcaneal fractures: a retrospective study. BMC Surg. 2013;13:40.
AO foundation. Calcaneus - Reduction & Fixation - ORIF - plate and screw fixation - Calcaneus displaced body fractures - AO Surgery Reference. Switzerland: Schatzker J; 2010.
Ishikawa S. Fractures and dislocations of the foot. En: Canale T, Beaty H, editores. Campbell’s Operative Orthopaedics. 12th ed. Elsevier; 2012. p. 4139-53.
Kim JH, Gwak HC, Kim JG, Jung YH. Measurement of Normal Calcaneus in Korean Cadavers: A Preliminary Report. J Korean Foot Ankle Soc. 2014;18:14-8, http://dx.doi.org/10.14193/jkfas.2014.18.1.14.
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