Evidence map›Paper›PMID 36335392›Full record

ArticleJournal of orthopaedic surgery and research2022

Calcaneal osteotomy due to insertional calcaneal tendinopathy: preoperative planning.

Matej Mazura, Tomas Goldman, Popelka Stanislav, David Kachlik, Rastislav Hromadka

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Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Matej MazuraFirst Department of Orthopaedics, First Faculty of Medicine, Charles University and Motol University Hospital, V Úvalu 84, 150 06, Prague 5, Czech Republic. mazura.matej@seznam.cz.
Tomas GoldmanDepartment of Mechanics, Bioemchanics and Mechatronics, Faculty of Mechanical Engineering, Czech Technical University in Prague, Technická 4, 166 07, Prague 6, Czech Republic.
Popelka StanislavFirst Department of Orthopaedics, First Faculty of Medicine, Charles University and Motol University Hospital, V Úvalu 84, 150 06, Prague 5, Czech Republic.
David KachlikDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague 5, Czech Republic.
Rastislav HromadkaFirst Department of Orthopaedics, First Faculty of Medicine, Charles University and Motol University Hospital, V Úvalu 84, 150 06, Prague 5, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDorsal closing wedge calcaneal osteotomy (DCWCO) is indicated in patients with insertional tendinopathy of the calcaneal (Achilles) tendon. The Chauveaus-Liet's (CL) angle is represented by the difference between the angle of verticalization (α) and morphological angle (β) of the calcaneus (CL angle = α - β). The purpose of the study was to assess whether the DCWCO affects the Chauveaus-Liet's angle.

methodsThe study included 12 patients indicated to DCWCO. Three directions of close wedge osteotomy were designed for each patient-horizontal, vertical and in the middle type of osteotomy and a virtual osteotomy was created in each of them in the ABAQUS system in cooperation with Czech Technical University. The most used directions of osteotomy according to the available literature were used. We evaluated α and β angles before and after osteotomy, changes of the length plantar aponeurosis and the elevation of distal insertional point of the calcaneal tendon. The changes of grades, median and standard deviation were observed.

resultsThe change of the alfa angle was dependent on the direction of the osteotomy and the change of the beta angle was affected by the size of the osteotomy. The greatest elevation of the distal insertional point of the calcaneal tendon occurred in the horizontal type of the osteotomy.

conclusionOur study shows that the more we want to reduce the tension in the calcaneal tendon, the more we have to perform an osteotomy horizontally. This study could serve as a preoperative guide for osteotomy planning.

Indexed as

Achilles TendonCalcaneusTendinopathyFootHumansOsteotomyCalcaneal osteotomyChauveaus-Liet angleInsertional Achilles tendinopathyPlantar aponeurosis

Identifiers

PMID36335392
PMCPMC9636787

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