{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:50:59Z","timestamp":1747187459276,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T00:00:00Z","timestamp":1675123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003453","name":"Natural Science Foundation of Guangdong Province","doi-asserted-by":"publisher","award":["2021A1515010773"],"award-info":[{"award-number":["2021A1515010773"]}],"id":[{"id":"10.13039\/501100003453","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Various surgical techniques have been reported in treating calcaneal malunions over the decades, while the operations on single plane were accompanied by respective limitations. The purpose of this study is to evaluate the efficacy of a novel multiple reconstructive osteotomy for treating malunited calcaneal fractures without subtalar joint fusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From March 12, 2010, to August 17, 2017, 10 patients (10 feet) with malunited calcaneal fractures were treated with multiple reconstructive osteotomy with subtalar joint\u2010preserving operations. All patients were treated with a corrective osteotomy, joint realignment, soft tissue balancing, and secondary internal fixation at a mean of 5.6\u2009\u00b1\u20092.41\u00a0months since the initial injury. With the utilization of the multiple reconstructive osteotomy, the posterior facet was restored to preserve the subtalar joint. All patients were evaluated clinically and radiographically at a mean follow\u2010up of 3.04\u2009\u00b1\u20091.21\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients were subjectively satisfied with the treatment. The average time to union was 12.2\u2009\u00b1\u20091.11\u2009weeks. The American Orthopedic Foot and Ankle (AOFAS) ankle and hind foot score was 86.3\u2009\u00b1\u20094.45 (<jats:italic>t<\/jats:italic>\u00a0=\u00a027.64, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001, paired <jats:italic>t\u2010<\/jats:italic>test), which was significantly higher than the preoperative assessment. Postoperative radiographic assessment revealed great improvement in B\u00f6hler's angle (from 25.4\u00b0 to 86.3\u00b0), talocalcaneal height (65.15\u201372.68\u2009mm) and Calcaneus\u2010talus angle (from 34.46\u00b0 to 39.7\u00b0). One patient had mild discomfort after a 1\u2010h brisk walk. One patient was suspected to have early posttraumatic arthritis of the subtalar joint based upon radiographic evidence during the follow\u2010up, but the patients could walk normally for a long time without pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Multiple reconstructive osteotomy is an effective way to restore the calcaneal morphology and preserve the subtalar joint for selected calcaneal malunion.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13506","type":"journal-article","created":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T10:42:22Z","timestamp":1675161742000},"page":"810-818","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Multiple Reconstructive Osteotomy Treating Malunited Calcaneal Fractures Without Subtalar Joint Fusion"],"prefix":"10.1111","volume":"15","author":[{"given":"Bowei","family":"Wang","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Guan","sequence":"additional","affiliation":[{"name":"Guangdong Provincial Key Laboratory of Bone and Cartilage Regenerative Medicine, Nanfang Hospital Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanjun","family":"Hu","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guiyong","family":"Jiang","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingrong","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Yunfu People\u2019s Hospital  Yunfu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dayong","family":"Xiang","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6914-0605","authenticated-orcid":false,"given":"Bin","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics Southern Medical University  Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Bone and Cartilage Regenerative Medicine, Nanfang Hospital Southern Medical University  Guangzhou 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