{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:47:20Z","timestamp":1780393640548,"version":"3.54.1"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Key R & D project of Shaanxi Province","award":["2024SF-YBXM-381"],"award-info":[{"award-number":["2024SF-YBXM-381"]}]},{"name":"Youth cultivation project of Xi\u2019an Municipal Health Commission","award":["2022qn05"],"award-info":[{"award-number":["2022qn05"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Calcaneal fracture malunion (CFM) commonly occurs with multiple pathologic changes and progressive pain and difficulty walking. The purpose of this study was to propose a modified 3-plane joint-preserving osteotomy for the treatment of CFM with subtalar joint incongruence, and to compare its efficacy to subtalar arthrodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective comparative analysis of the data of 56 patients with CFM admitted from January 2017 to December 2022 was performed. Twenty-six patients were in the osteotomy group and 30 in the arthrodesis group. Computed tomographic (CT) scans were used for measurement of the intraarticular steps. Radiologic parameters, visual analog scale (VAS) score for pain, 12-Item Short Form Health Survey (SF-12) mental component summary (MCS) and physical component summary (PCS) scores were compared between the 2 groups of patients to assess the outcome preoperatively and at last follow-up, which averaged 22.6\u2009\u00b1\u20093.6\u2009months and 27.6\u2009\u00b1\u20093.6\u2009months for the osteotomy and arthrodesis groups, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Improvements in pain, function, and overall quality of life were obtained in both groups compared with the preoperative values at last follow-up. The VAS and SF-12 scores were similar between the groups at the last follow-up. In the osteotomy group, the average CT scan\u2013measured intraarticular step-offs were significantly reduced from 3.7\u2009\u00b1\u20091.2\u2009mm to 0.9\u2009\u00b1\u20090.3\u2009mm. The osteotomy group showed improvement in pronation and supination range of motion (ROM) of the feet (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.01). The correction of the ankle height and Meary angle were slightly better in the osteotomy group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this short-term follow-up study, good results were achieved in both joint-preserving osteotomy and subtalar arthrodesis groups for the treatment of CFM with subtalar joint incongruence. The osteotomy group preserved the subtalar joint and achieved improvements in pronation and supination ROM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007241310228","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T12:36:28Z","timestamp":1737981388000},"page":"295-302","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Three-Plane Calcaneal Osteotomy With Joint Preservation vs Subtalar Arthrodesis to Treat Painful Calcaneal Fracture Malunions"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5195-3127","authenticated-orcid":false,"given":"Hui","family":"Feng","sequence":"first","affiliation":[{"name":"Xi\u2019an Medical University, Xi\u2019an, Shaanxi, China"},{"name":"Foot and Ankle Surgery Department, Honghui Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Dong","family":"Ji","sequence":"additional","affiliation":[{"name":"Xi\u2019an Medical University, Xi\u2019an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin-Quan","family":"Yang","sequence":"additional","affiliation":[{"name":"Foot and Ankle Surgery Department, Honghui Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4509-2264","authenticated-orcid":false,"given":"Yang","family":"Yue","sequence":"additional","affiliation":[{"name":"Xi\u2019an Medical University, Xi\u2019an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhe","family":"Wang","sequence":"additional","affiliation":[{"name":"Xi\u2019an Medical University, Xi\u2019an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Foot and Ankle Surgery Department, Honghui Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei-Long","family":"Liu","sequence":"additional","affiliation":[{"name":"Foot and Ankle Surgery Department, Honghui Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6943-6609","authenticated-orcid":false,"given":"Jing-Qi","family":"Liang","sequence":"additional","affiliation":[{"name":"Foot and Ankle Surgery Department, Honghui Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5760-9309","authenticated-orcid":false,"given":"Hong-Mou","family":"Zhao","sequence":"additional","affiliation":[{"name":"Foot and Ankle Surgery Department, Honghui Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00759"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2014.55.4.1087"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200302000-00005"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-015-3042-x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.01.003"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198801000-00035"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2005.11.004"},{"issue":"8","key":"e_1_3_2_9_2","first-page":"1014","article-title":"Operative compared to non-operative treatment of displaced intra-articular calcaneal fractures","volume":"16","author":"Nouraei MH","year":"2011","unstructured":"Nouraei MH, Moosa FM. 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