The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · 2026
Radiographic union and complication outcomes following the non-lateralized malerba calcaneal osteotomy for rearfoot varus deformity correction.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Jameson Ryan C, Chong Alexander Cm, Uglem Timothy P
Аннотация
BACKGROUND: Numerous calcaneal osteotomies exist for the correction of rearfoot varus; however, the preferred surgical option remains controversial. Limited data are available regarding radiographic union and complication rates associated with Malerba calcaneal osteotomy without lateralization of the calcaneal tuberosity.
PURPOSE: To report the incidence of union, complications, and revision surgeries associated with the Malerba calcaneal osteotomy performed without lateralization for the treatment of adults with rearfoot varus deformity.
STUDY DESIGN: Observation, retrospective case series METHODS: A retrospective review of clinical charts of consecutive adult patients were performed from 1/2018 through 3/2024 at a single hospital in the Midwest region. Patient demographics, clinical variables, and postoperative variables (radiographic union, postoperative complications, the need for surgical reoperation, and revision surgery) were obtained.
RESULTS: A total of 46 cases were included, with a mean follow-up of 14.7 months. Three fixation methods were used, including single screw (37 cases, 80%), two screws (2 cases, 4%), and staple alone (7 cases, 15%). The union rate was 100% across all fixation methods used in this study. Three patients developed postoperative complications resulted in an overall complication rate of 7% (3/46 cases) with one case each of hardware removal, wound dehiscence, and superficial infection.
CONCLUSION: The Malerba calcaneal osteotomy performed without lateralization of the calcaneal tuberosity achieves a high union rate and a low complication profile across various fixation methods.
PURPOSE: To report the incidence of union, complications, and revision surgeries associated with the Malerba calcaneal osteotomy performed without lateralization for the treatment of adults with rearfoot varus deformity.
STUDY DESIGN: Observation, retrospective case series METHODS: A retrospective review of clinical charts of consecutive adult patients were performed from 1/2018 through 3/2024 at a single hospital in the Midwest region. Patient demographics, clinical variables, and postoperative variables (radiographic union, postoperative complications, the need for surgical reoperation, and revision surgery) were obtained.
RESULTS: A total of 46 cases were included, with a mean follow-up of 14.7 months. Three fixation methods were used, including single screw (37 cases, 80%), two screws (2 cases, 4%), and staple alone (7 cases, 15%). The union rate was 100% across all fixation methods used in this study. Three patients developed postoperative complications resulted in an overall complication rate of 7% (3/46 cases) with one case each of hardware removal, wound dehiscence, and superficial infection.
CONCLUSION: The Malerba calcaneal osteotomy performed without lateralization of the calcaneal tuberosity achieves a high union rate and a low complication profile across various fixation methods.