CME OnDemand: 2022 AOFAS Annual Meeting-Calcaneal Osteotomies in Prevention of Deformity-Driven Subtalar Joint Arthritis

Calcaneal Osteotomies in Prevention of Deformity-Driven Subtalar Joint Arthritis

Video Transcription

Video Summary

In this video, Vince Vecchietta, a fellow at the Orthopedic Foot and Ankle Center in Columbus, Ohio, discusses calcaneal osteotomies and their impact on preventing deformity-driven subtalar joint arthritis. The study aimed to evaluate the protective nature of calcaneal osteotomies and the rates of hardware removal, as well as the reliability of the Kellgren-Lawrence scale for grading subtalar joint osteoarthritis. The study involved a retrospective review of 255 patients who underwent calcaneal osteotomy. The results showed that calcaneal osteotomies were successful in preventing deformity-driven subtalar joint arthritis, but had a 28% hardware removal rate. The Kellgren-Lawrence grading system had moderate reliability preoperatively and poor reliability postoperatively. The study, however, had limitations such as a small patient population and intermediate-term follow-up.

Asset Subtitle

Vincent G. Vacketta, Cody J. Togher, Mark A. Prissel, DPM, and John M. Thompson

Keywords

calcaneal osteotomies

subtalar joint arthritis

hardware removal

Kellgren-Lawrence scale

retrospective review