Yonsei Med J.  2008 Feb;49(1):79-83.

Use of Allograft in Skeletally Immature Patients for Calcaneal Neck Lengthening Osteotomy

• Kwak YH
• Park KB
• Park HW
• Kim HW

Abstract

PURPOSE
To date, there have been no studies evaluating the usefulness of allograft as a substitute for autograft in calcaneal neck lengthening osteotomy. This retrospective study examined the results of calcaneal neck lengthening osteotomy using allograft for pathologic flatfoot deformity in children and adolescents with various neuromuscular diseases. MATERIALS AND METHODS: 118 feet in 79 children treated surgically between Mar 2000 and July 2005 were reviewed. The mean age at the time of the operation was 9+3 years (range, 3-17 years) and follow-up averaged 15.4 months (range, 13-21 months) postoperatively. Talo-1st metatarsal angle, talo-calcaneal angle, calcaneal pitch were measured before and after operation and bony union was estimated. RESULTS: Bony union was noted at the latest follow-up and there were no postoperative complications such as reduction loss, infection, nonunion, delayed union or graft loss during the follow-up period in all but one foot. All radiographic indices were improved postoperatively in all cases. CONCLUSION: Our results indicate that use of allograft in calcaneal neck lengthening osteotomy is a useful option for correction of the planovalgus deformity in skeletally immature patients whose enough autobone can not be obtained.

Keyword

Calcaneal neck lengthening osteotomy; pathologic flatfoot; allograft

MeSH Terms

Adolescent
Bone Diseases/*congenital/radiography/*surgery
*Bone Lengthening
*Bone Transplantation
Calcaneus/*surgery
Child
Child, Preschool
Female
Humans
Male
*Osteotomy
Transplantation, Homologous

Figure

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  Fig. 1 Anteroposterior and lateral radiographs of both feet of 9-year-old boy (A) Preoperative radiographs (B) Immediate postoperative radiographs (C) Bony union was confirmed at the postoperative 1 year, and corrected talonavicular subluxation was noted in standing position.

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