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Lateral decompression for malunited os calcis fractures.

W G Braly, J O Bishop, H S Tullos

    Foot & Ankle
    |October 1, 1985
    PubMed
    Summary

    Lateral decompression effectively treats hindfoot pain from malunited os calcis fractures. This simpler surgical option offers high success rates, outperforming late subtalar fusion for persistent lateral symptoms.

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    Area of Science:

    • Orthopedic Surgery
    • Foot and Ankle Reconstruction

    Background:

    • Hindfoot pain can result from malunited os calcis fractures with subtalar joint involvement.
    • Previous treatments like late subtalar fusion may not fully resolve lateral symptoms.

    Purpose of the Study:

    • To evaluate the efficacy of lateral decompression for hindfoot pain after malunited os calcis fractures.
    • To compare lateral decompression outcomes with late subtalar fusion for similar conditions.

    Main Methods:

    • Nineteen patients underwent lateral decompression, involving ostectomy, sural nerve release, and peroneal tendon management.
    • Patients were divided into two groups: those with prior failed subtalar fusion (Group I) and those undergoing decompression as an alternative (Group II).

    Main Results:

    • Satisfactory outcomes were achieved in 75% of Group I and 82% of Group II patients.
    • Success rates for lateral decompression (75-82%) exceeded published rates for late subtalar fusion (approx. 50%).

    Conclusions:

    • Lateral decompression is a technically simpler and effective alternative to late subtalar fusion.
    • This procedure successfully addresses lateral hindfoot pain associated with malunited os calcis fractures.

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