Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil.
Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil.
Foot Ankle Int. 2022 Jan;43(1):49-54. doi: 10.1177/10711007211032665. Epub 2021 Jul 30.
Autologous grafting is widely used in orthopaedic surgery because of its high osteogenic capacity, immunologic compatibility, for the absence of risk of disease transmission, and for not requiring a bone bank. The posterior-superior calcaneal tuberosity is an option for obtaining a cortical and cancellous structural bone. This study aims to describe the operative technique and complications observed at the donor site of the posterior-superior calcaneal tuberosity.
Patients who underwent graft harvesting from the posterior-superior calcaneal tuberosity were retrospectively evaluated by pain outcomes, imaging tests, and intra- and postoperative complications.
Twenty patients with a median age of 69 years (range 48-77) and follow-up of 16 months (12-26) were assessed. Median postoperative pain at the donor site was 0 (0-6), with 2 patients reporting persistent local pain. No case of Achilles tendon rupture or intra- or postoperative calcaneal fracture were identified. One patient developed a superficial infection that was quickly resolved using oral antibiotic therapy.
The posterior-superior calcaneal tuberosity is an alternative source of autologous graft with low donor site morbidity.
Level IV, case series.
自体移植物因其成骨能力高、免疫相容性好、不存在疾病传播风险且无需骨库而广泛应用于骨科手术中。后上跟骨结节是获取皮质和松质结构骨的一种选择。本研究旨在描述后上跟骨结节供区的手术技术和观察到的并发症。
通过疼痛结果、影像学检查以及术中及术后并发症对接受后上跟骨结节移植物采集的患者进行回顾性评估。
20 名年龄中位数为 69 岁（范围 48-77 岁）的患者接受了评估，随访时间为 16 个月（12-26 个月）。供区术后疼痛中位数为 0（0-6），2 名患者报告存在持续性局部疼痛。未发现跟腱断裂或跟骨骨折的病例。1 名患者发生浅表感染，经口服抗生素治疗后迅速得到解决。
后上跟骨结节是自体移植物的一种替代来源，供区并发症发生率低。
IV 级，病例系列。
