Journal article
A comparison of union rates and complications between single screw and double screw fixation of sliding calcaneal osteotomy
Foot and ankle surgery, Vol.25(1), pp.84-89
02/2019
DOI: 10.1016/j.fas.2017.08.007
PMID: 29409301
Abstract
The number of screws used for sliding calcaneal osteotomy fixation has not been examined in the literature. The purpose of this paper is to examine this topic.
Retrospective chart review was performed on 190 patients who met selection criteria. We compared complication risk for single versus double screw, headed versus headless screw, and short versus longitudinal incision cases.
The mean age was 48.4 (18-83) years and average follow up was 28 (12-150) weeks. All cases achieved radiographic union. Overall complication rate was 19.5% (37/190). Risk of complication did not differ significantly between single and double screw (RR: 1.170; 95% CI: 0.66-2.09; p=0.594) or short and extended incision groups (RR: 0.868; 95% CI: 0.42-1.80; p=0.704). Risk of complication differed significantly between headed and headless screw fixation (RR: 5.558; 95% CI: 2.69-11.50; p<0.0001).
Single screw fixation of sliding calcaneal osteotomy achieves similar outcomes as double screw fixation. Headless screws are advantageous for minimizing hardware pain and subsequent hardware removal.
Details
- Title: Subtitle
- A comparison of union rates and complications between single screw and double screw fixation of sliding calcaneal osteotomy
- Creators
- Bahman SahraNavard - University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: bahman.sahra@gmail.comParke W Hudson - University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: phuds002@ucr.eduCesar de Cesar Netto - University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: cesardecesarnetto@gmail.comBradley W Wills - University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: bradleywills@uabmc.eduIbukunoluwa B Araoye - University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: ibukunoluwa.araoye@my.rfums.orgShelby Bergstresser - University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: slberg@uab.eduBrent M Cone - University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: BCONE@augusta.eduAshish Shah - University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: ashishshah@uabmc.edu
- Resource Type
- Journal article
- Publication Details
- Foot and ankle surgery, Vol.25(1), pp.84-89
- Publisher
- France
- DOI
- 10.1016/j.fas.2017.08.007
- PMID
- 29409301
- ISSN
- 1268-7731
- eISSN
- 1460-9584
- Language
- English
- Date published
- 02/2019
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040250402771
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