Student research committee, Shiraz University of Medical Sciences, Shiraz, Iran (FK, AE).
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran (MAE, ARV).
Foot Ankle Spec. 2021 Aug;14(4):298-301. doi: 10.1177/1938640020916269. Epub 2020 Apr 24.
The aim of this study was to evaluate the complications following calcaneal autologous bone graft harvesting using an osteotome in patients who underwent foot and ankle surgery with follow-up of at least 1 year. In a cohort study, all consecutive patients underwent forefoot or midfoot surgeries in conjunction with harvesting bone graft from the calcaneus using lateral wall corticotomy technique by an osteotome from 2015 till 2018 were asked to follow. The outcome and morbidity were assessed by visual analogue scale (VAS) pain, numbness in territory of the sural nerve, surgical site numbness or tenderness, infection, hematoma formation, or pathologic fracture. Also any possible restrictions on wearing desired shoes were asked. Totally, 50 patients (11 males, 39 females; 29 right foot, 21 left foot) with the mean age of 48.2 ± 13.8 years (range 8-66 years) were assessed. There were no major complications on donor site such as infection, hematoma formation, or pathologic fracture. The following results were seen; 90% without any pain (VAS 0/10), 96% without numbness at the incision site, 96% without point tenderness on lateral of heel, 98% without paresthesia or numbness in the sural nerve territory, and 84% were able to wear their favorite shoes. Forty-one (82%) cases said if they need another foot surgery, they would permit to harvest bone graft from their heel. Autologous bone graft harvesting from the calcaneus using lateral wall corticotomy technique by an osteotome could be a useful method with very low complications. Therapeutic, level IV: cohort, case series.
本研究旨在评估在接受足踝手术的患者中，使用骨刀进行跟骨自体骨移植后出现的并发症，这些患者的随访时间至少为 1 年。在一项队列研究中，我们要求所有连续接受前足或中足手术并通过外侧壁皮质切开术联合使用骨刀从跟骨采集骨移植物的患者进行随访。通过视觉模拟评分（VAS）评估疼痛、腓肠神经支配区域麻木、手术部位麻木或压痛、感染、血肿形成或病理性骨折等结果和发病率。还询问了是否对穿所需鞋子有任何限制。 总共评估了 50 名患者（11 名男性，39 名女性；29 名右足，21 名左足），平均年龄为 48.2±13.8 岁（年龄 8-66 岁）。供体部位无重大并发症，如感染、血肿形成或病理性骨折。结果如下：90%的患者无任何疼痛（VAS 0/10），96%的患者切口处无麻木，96%的患者足跟外侧无压痛，98%的患者无腓肠神经支配区域感觉异常或麻木，84%的患者能够穿他们喜欢的鞋子。41 例（82%）患者表示，如果需要再次进行足部手术，他们将允许从脚跟采集骨移植物。 使用骨刀通过外侧壁皮质切开术从跟骨采集自体骨移植物是一种并发症发生率非常低的有效方法。治疗，IV 级：队列，病例系列。
