jktoКафедра травматологии и ортопедииDepartment of Traumatology and Orthopaedics2226-2016ПРОФИЛЬ — 2С10.17238/2226-2016-2025-2-71-80jkto-25Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWХирургическое лечение застарелых переломов пяточной кости: обзор литературыSurgical Treatment of Calcaneal Malunion: Literature Reviewhttps://orcid.org/0009-0006-7135-3972ПлатоновВ. В.PlatonovV. V.

Валерий Витальевич Платонов – аспирант кафедры травматологии и ортопедии; врач травматолог-ортопед

115446, Москва 

117198, Москва 

Valery V. Platonov – PhD student of chair of Traumatology

15446, Moscow

117198, Moscow

platonov_ortho@mail.ruhttps://orcid.org/0000-0001-6287-8132КузнецовВ. В.KuznetsovV. V.

Василий Викторович Кузнецов – к.м.н., врач травматологортопед отделения травматологии и ортопедии №4 

115446, Москва 

Vasiliy V. Kuznetsov – PhD, Orthopedic Surgeon

15446, Moscow

vkuznecovniito@gmail.comhttps://orcid.org/0000-0002-5077-2186ПроцкоВ. Г.ProtskoV. G.

Виктор Геннадьевич Процко – д.м.н., доцент кафедры травматологии и ортопедии, ГБОУ ВПО “Российский университет дружбы народов»; врач травматолог-ортопед отделения травматологии и ортопедии №4 

115446, Москва 

117198, Москва 

Victor G. Protsko – MD, PhD, professor of chair of Traumatology; Orthopedic Surgeon

15446, Moscow

117198, Moscow

89035586679@mail.ruhttps://orcid.org/0000-0001-8748-0059ТамоевС. К.TamoevS. K.

Саргон Константинович Тамоев – к.м.н., врач травматологортопед, заведующий отделения травматологии и ортопедии №4

115446, Москва 

Sargon K. Tamoev – PhD, Head of the department, Orthopedic Surgeon

15446, Moscow

Sargonik@mail.ruhttps://orcid.org/0000-0003-4943-3440ОсначС. А.OsnachS. A.

Станислав Александрович Оснач – врач травматолог-ортопед отделения травматологии и ортопедии №4 

Stanislav A. Osnach — Orthopedic Surgeon

15446, Moscow

stas-osnach@yandex.ruhttps://orcid.org/0000-0003-0833-6628СкребцовВ. В.SkrebtsovV. V.

Владимир Владимирович Скребцов – к.м.н. врач травматолог-ортопед отделения травматологии и ортопедии №4 

115446, Москва 

Vladimir V. Skrebtsov - PhD, Orthopedic Surgeon

15446, Moscow

Skrebtsov@mail.ruhttps://orcid.org/0000-0002-6736-9772ЗагороднийН. В.ZagorodniyN. V.

Николай Васильевич Загородний – д.м.н., профессор, чл.- корр. РАН, врач травматолог-ортопед, заведующий кафедрой травматологии и ортопедии; заведующий отделения эндопротезирования №2 

117198, Москва 

Nikolay V. Zagorodniy — MD, PhD, Corresponding Member of the Russian Academy of Sciences, professor, head of chair of Traumatology, Orthopedic Surgeon

117198, Moscow

zagorodniy51@mail.ruhttps://orcid.org/0000-0003-1501-0677ПахомовИ. А.PakhomovI. A.

Игорь Анатольевич Пахомов — д.м.н., профессор, ведущий научный сотрудник, врач травматолог-ортопед 

630091, Новосибирск 

Igor A. Pakhomov — MD, PhD, professor of chair of Traumatology, Leading Researcher, Orthopedic Surgeon

30091, Novosibirsk

pahomovigor@inbox.ruГБУЗ «Городская клиническая больница имени С.С. Юдина ДЗМ»; ФГАОУ ВО Российский университет дружбы народовРоссияState Budgetary Institution “Sergey S. Yudin City Clinical Hospital of the Moscow City Health Department»; Federal State Autonomous Educational Institution of Higher Education RUDN University The Ministry of Education and Science of RussiaRussian FederationГБУЗ «Городская клиническая больница имени С.С. Юдина ДЗМ»РоссияState Budgetary Institution “Sergey S. Yudin City Clinical Hospital of the Moscow City Health Department»Russian FederationФГАОУ ВО Российский университет дружбы народовРоссияFederal State Autonomous Educational Institution of Higher Education RUDN University The Ministry of Education and Science of RussiaRussian FederationНовосибирский научно-исследовательский институт травматологии и ортопедии имени Я.Л. ЦивьянаРоссияNovosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan,Russian Federation202513032026027180Copyright © Платонов В.В., Кузнецов В.В., Процко В.Г., Тамоев С.К., Оснач С.А., Скребцов В.В., Загородний Н.В., Пахомов И.А., 20262026Платонов В.В., Кузнецов В.В., Процко В.Г., Тамоев С.К., Оснач С.А., Скребцов В.В., Загородний Н.В., Пахомов И.А.Platonov V.V., Kuznetsov V.V., Protsko V.G., Tamoev S.K., Osnach S.A., Skrebtsov V.V., Zagorodniy N.V., Pakhomov I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jkto.moscow/jour/article/view/25

Введение. Последствия переломов пяточной кости вызывают стойкую инвалидизацию пациентов и снижение качества их жизни. Типичными проявлениями выступают деформация заднего отдела стопы, плоскостопие и подтаранный артроз. Стойкие посттравматические деформации с течением времени приводят к возникновению патологической биомеханики стопы и нарушению кинематики и кинетики нижних конечностей и таза. Для улучшения функции, снижения болевого синдрома, предотвращения артроза смежных суставов необходимо исправление деформации и стабилизация заднего отдела поврежденной стопы хирургическим путем. Цель работы — на основании анализа отечественной и зарубежной литературы определить современное состояние проблемы хирургического лечения застарелых переломов пяточной кости. Материалы и методы. Поиск публикаций проводился в следующих научных электронных платформах – Pubmed, eLIBRARY с глубиной поиска 36 лет (с 1988г. по 2024г.). Проведен поиск по ключевым словам и определены потенциально релевантные работы. После изучения полных текстов исследований выполнен систематический разбор данных с последующим определением ключевых параметров. Результаты были выделены, проанализированы и обобщены. Результаты. В работе затронуты вопросы, посвященные клиническим проявлениям, методам лучевой диагностики, классификации и хирургическим подходам к коррекции различных типов деформаций, возникающих вследствие неправильного сращения переломов пяточной кости. Для успешной коррекции посттравматической деформации пяточной кости необходимо комплексное и всестороннее обследование пациента. Современные системы классификации деформации и их исправления помогают ортопедам в выборе оптимальной хирургической тактики, однако вопрос выполнения этих вмешательств в рутинной практике остается дискутабельным и требует дальнейшего изучения и обсуждения. 

Introduction

Introduction. The consequences of calcaneal fractures cause persistent disability of patients and decrease their quality of life. Typical manifestations include hindfoot deformity, flatfoot and subtalar arthrosis. Persistent post-traumatic deformities over time lead to pathologic biomechanics of the foot and impaired kinematics and kinetics of the lower limbs and pelvis. To improve function, reduce pain syndrome, and prevent arthrosis of adjacent joints, it is necessary to correct the deformity and stabilize the hindfoot of the injured foot surgically.

The aim of the research

The aim of the research: To determine the current state of the problem of surgical treatment of stale calcaneal fractures based on the analysis of domestic and foreign literature.

Materials and methods

Materials and methods. Publications were searched in the following scientific electronic platforms - Pubmed, eLIBRARY with a search depth of 36 years (from 1988 to 2024). A keyword search was conducted and potentially relevant papers were identified. After reviewing the full texts of the studies, a systematic parsing of the data was performed, followed by identification of key parameters. The results were highlighted, analyzed and summarized. Results. The paper touches upon the issues devoted to clinical manifestations, methods of radial diagnosis, classification and surgical approaches to the correction of various types of deformities resulting from improper heel bone fracture fusion. Successful correction of posttraumatic deformity of the calcaneus requires a comprehensive and comprehensive examination of the patient. Modern systems of deformity classification and correction help orthopedists in choosing the optimal surgical tactics, but the issue of performing these interventions in routine practice remains controversial and requires further study and discussion.

перелом пяточной костинеправильно сросшийся перелом пяточной костиподтаранный артродезкорригирующая остеотомия пяточной костиcalcaneal fracturecalcaneal malunion fracturesubtalar arthrodesiscalcaneal corrective osteotomyReferencesWestphal T. et al. Outcome of surgically treated intraarticular calcaneus fractures—SF-36 compared with AOFAS and MFS. Acta Orthop. Scand. 2004;75(6):750–755. DOI:10.1080/00016470410004148Westphal T. et al. Outcome of surgically treated intraarticular calcaneus fractures—SF-36 compared with AOFAS and MFS. Acta Orthop. Scand. 2004;75(6):750–755. DOI:10.1080/00016470410004148Westphal T. et al. Quality of life after foot injuries. Zentralbl. Chir. 2002;127(3):238–242. DOI:10.1055/s-2002-24244Westphal T. et al. Quality of life after foot injuries. Zentralbl. Chir. 2002;127(3):238–242. DOI:10.1055/s-2002-24244Zwipp, Rammelt, Barthel. Fersenbeinbruch – häufigster Bruch der tarsalen Knochen. Ther. Umsch. 2004;61(7):435–450. DOI:10.1024/0040-5930.61.7.435Zwipp, Rammelt, Barthel. Fersenbeinbruch – häufigster Bruch der tarsalen Knochen. Ther. Umsch. 2004;61(7):435–450. DOI:10.1024/0040-5930.61.7.435Van Tetering E.A.A., Buckley R.E. Functional Outcome (SF-36) of Patients with Displaced Calcaneal Fractures Compared to SF-36 Normative Data. Foot Ankle Int. 2004;25(10):733–738. DOI:10.1177/107110070402501007Van Tetering E.A.A., Buckley R.E. Functional Outcome (SF-36) of Patients with Displaced Calcaneal Fractures Compared to SF-36 Normative Data. Foot Ankle Int. 2004;25(10):733–738. DOI:10.1177/107110070402501007Rammelt S., Zwipp H. Corrective arthrodeses and osteotomies for post-traumatic hindfoot malalignment: indications, techniques, results. Int. Orthop. 2013;37(9):1707–1717. DOI: 10.1007/s00264-013-2021-3Rammelt S., Zwipp H. Corrective arthrodeses and osteotomies for post-traumatic hindfoot malalignment: indications, techniques, results. Int. Orthop. 2013;37(9):1707–1717. DOI: 10.1007/s00264-013-2021-3Westphal T. et al. Lebensqualitt nach Kalkaneusfrakturen. Unfallchirurg. 2003;106(4):313–318. DOI: 10.1007/s00113-002-0565-6Westphal T. et al. Lebensqualitt nach Kalkaneusfrakturen. Unfallchirurg. 2003;106(4):313–318. DOI: 10.1007/s00113-002-0565-6Meeder P.J. et al. Fracture of the calcaneus–sequelae, therapy and expert assessment. Unfallchirurg. 1988;91(11):516–522.Meeder P.J. et al. Fracture of the calcaneus–sequelae, therapy and expert assessment. Unfallchirurg. 1988;91(11):516–522.Van Hoeve S. et al. Vertical ground reaction forces in patients after calcaneal trauma surgery. Gait Posture. Elsevier, 2017;(58):523–526. DOI: 10.1016/j.gaitpost.2017.09.026Van Hoeve S. et al. Vertical ground reaction forces in patients after calcaneal trauma surgery. Gait Posture. Elsevier, 2017;(58):523–526. DOI: 10.1016/j.gaitpost.2017.09.026Tateuchi H., Wada O., Ichihashi N. Effects of calcaneal eversion on three-dimensional kinematics of the hip, pelvis and thorax in unilateral weight bearing. Hum. Mov. Sci. Elsevier, 2011;30(3):566–573. DOI: 10.1016/j.humov.2010.11.011Tateuchi H., Wada O., Ichihashi N. Effects of calcaneal eversion on three-dimensional kinematics of the hip, pelvis and thorax in unilateral weight bearing. Hum. Mov. Sci. Elsevier, 2011;30(3):566–573. DOI: 10.1016/j.humov.2010.11.011Sato T. et al. Relationship between ankle–foot-complex mobility during static loading and frontal moment impulses of knee and hip joints during the stance phase. Gait Posture. Elsevier, 2024;(108):301–306. DOI:10.1016/j.gaitpost.2023.12.017Sato T. et al. Relationship between ankle–foot-complex mobility during static loading and frontal moment impulses of knee and hip joints during the stance phase. Gait Posture. Elsevier, 2024;(108):301–306. DOI:10.1016/j.gaitpost.2023.12.017Clare M.P., Crawford W.S. Managing Complications of Calcaneus Fractures. Foot Ankle Clin. 2017;22(1):105–116. DOI:10.1016/j.fcl.2016.09.007Clare M.P., Crawford W.S. Managing Complications of Calcaneus Fractures. Foot Ankle Clin. 2017;22(1):105–116. DOI:10.1016/j.fcl.2016.09.007Rammelt S., Grass R., Zwipp H. Joint-preserving osteotomy for malunited intra-articular calcaneal fractures. J. Orthop. Trauma. LWW, 2013;27(10):234–238. DOI: 10.1097/BOT.0b013e318290ff07Rammelt S., Grass R., Zwipp H. Joint-preserving osteotomy for malunited intra-articular calcaneal fractures. J. Orthop. Trauma. LWW, 2013;27(10):234–238. DOI: 10.1097/BOT.0b013e318290ff07Benirschke S.K., Kramer P.A. Joint-Preserving Osteotomies for Malaligned Intraarticular Calcaneal Fractures. Foot Ankle Clin. 2016;21(1):111–122. DOI: 10.1016/j.fcl.2015.09.013Benirschke S.K., Kramer P.A. Joint-Preserving Osteotomies for Malaligned Intraarticular Calcaneal Fractures. Foot Ankle Clin. 2016;21(1):111–122. DOI: 10.1016/j.fcl.2015.09.013Ketz J., Clare M., Sanders R. Corrective osteotomies for malunited extra-articular calcaneal fractures. Foot Ankle Clin. Elsevier, 2016;21(1):135–145. DOI: 10.1016/j.fcl.2015.09.006Ketz J., Clare M., Sanders R. Corrective osteotomies for malunited extra-articular calcaneal fractures. Foot Ankle Clin. Elsevier, 2016;21(1):135–145. DOI: 10.1016/j.fcl.2015.09.006Коновальчук Н.С., Сорокин Е. П., Ласунский С. А., Фомичев, В. А., Чугаев, Д. В., Основные источники болевого синдрома у пациентов с последствиями переломов пяточной кости: обзор литературы и клинические наблюдения. Современные проблемы науки и образования. 2018;(2):19-19. DOI: 10.17513/spno.27465Konovalchuk N.S., Sorokin E.P., Lasunskiy S.A., Fomichev V.A., Chugaev D.V., The main sources of pain in patients with consequences of calcaneal fractures: literature review and clinical observations Modern problems of science and education. 2018;(2):19-19. DOI: 10.17513/spno.27465.Clare M.P., Lee III W.E., Sanders R.W. Intermediate to long-term results of a treatment protocol for calcaneal fracture malunions. JBJS. LWW, 2005;87(5):963–973. DOI:10.2106/JBJS.C.01603Clare M.P., Lee III W.E., Sanders R.W. Intermediate to long-term results of a treatment protocol for calcaneal fracture malunions. JBJS. LWW, 2005;87(5):963–973. DOI:10.2106/JBJS.C.01603Zwipp H., Rammelt S. Posttraumatic deformity correction at the foot. Zentralbl. Chir. 2003;128(3):218–226. DOI:10.1055/s-2003-38536Zwipp H., Rammelt S. Posttraumatic deformity correction at the foot. Zentralbl. Chir. 2003;128(3):218–226. DOI:10.1055/s-2003-38536Rammelt S. et al. Recognition, Treatment, and Outcome of Calcaneal Fracture-Dislocation. Foot Ankle Int. 2021;42(6):706–713. DOI:10.1177/1071100720980012Rammelt S. et al. Recognition, Treatment, and Outcome of Calcaneal Fracture-Dislocation. Foot Ankle Int. 2021;42(6):706–713. DOI:10.1177/1071100720980012Eastwood D., Gregg P., Atkins R. Intra-articular fractures of the calcaneum. Part I: Pathological anatomy and classification. J. Bone Joint Surg. Br. 1993;75(2):183–188. DOI: 10.1302/0301-620X.75B2.8444934Eastwood D., Gregg P., Atkins R. Intra-articular fractures of the calcaneum. Part I: Pathological anatomy and classification. J. Bone Joint Surg. Br. 1993;75(2):183–188. DOI: 10.1302/0301-620X.75B2.8444934Dürr C., Zwipp H., Rammelt S. Fractures of the sustentaculum tali. Oper. Orthop. Traumatol. 2013;25(6):569–578. DOI: 10.1007/s00064-013-0247-2Dürr C., Zwipp H., Rammelt S. Fractures of the sustentaculum tali. Oper. Orthop. Traumatol. 2013;25(6):569–578. DOI: 10.1007/s00064-013-0247-2Rammelt S., Pitakveerakul A. Hindfoot injuries: how to avoid posttraumatic varus deformity? Foot Ankle Clin. Elsevier, 2019;24(2):325–345. DOI: 10.1016/j.fcl.2019.02.006Rammelt S., Pitakveerakul A. Hindfoot injuries: how to avoid posttraumatic varus deformity? Foot Ankle Clin. Elsevier, 2019;24(2):325–345. DOI: 10.1016/j.fcl.2019.02.006Li X. et al. Anterior distal tibial plafond-plasty for the treatment of posttraumatic ankle osteoarthritis with anterior translation of the talus. Sci. Rep. Nature Publishing Group UK London, 2021;11(1): p. 4381. DOI: 10.1038/s41598-021-83946-yLi X. et al. Anterior distal tibial plafond-plasty for the treatment of posttraumatic ankle osteoarthritis with anterior translation of the talus. Sci. Rep. Nature Publishing Group UK London, 2021;11(1): p. 4381. DOI: 10.1038/s41598-021-83946-ySaltzman C.L., El-Khoury G.Y. The Hindfoot Alignment View. Foot Ankle Int. 1995;16(9):572–576. DOI:10.1177/107110079501600911Saltzman C.L., El-Khoury G.Y. The Hindfoot Alignment View. Foot Ankle Int. 1995;16(9):572–576. DOI:10.1177/107110079501600911Thapa M.M., Pruthi S., Chew F.S. Radiographic Assessment of Pediatric Foot Alignment: Review. Am. J. Roentgenol. American Roentgen Ray Society, 2010;194(6):51–58. DOI: 10.2214/ AJR.07.7143Thapa M.M., Pruthi S., Chew F.S. Radiographic Assessment of Pediatric Foot Alignment: Review. Am. J. Roentgenol. American Roentgen Ray Society, 2010;194(6):51–58. DOI: 10.2214/ AJR.07.7143Stapleton J.J., Belczyk R., Zgonis T. Surgical treatment of calcaneal fracture malunions and posttraumatic deformities. Clin. Podiatr. Med. Surg. Elsevier, 2009;26(1):79–90. DOI: 10.1016/j.cpm.2008.10.003Stapleton J.J., Belczyk R., Zgonis T. Surgical treatment of calcaneal fracture malunions and posttraumatic deformities. Clin. Podiatr. Med. Surg. Elsevier, 2009;26(1):79–90. DOI: 10.1016/j.cpm.2008.10.003Lau B.C. et al. Understanding radiographic measurements used in foot and ankle surgery. JAAOS-J. Am. Acad. Orthop. Surg. LWW, 2022;30(2):139–154. DOI: 10.5435/JAAOS-D-20-00189Lau B.C. et al. Understanding radiographic measurements used in foot and ankle surgery. JAAOS-J. Am. Acad. Orthop. Surg. LWW, 2022;30(2):139–154. DOI: 10.5435/JAAOS-D-20-00189Reilingh M.L. et al. Measuring hindfoot alignment radiographically: the long axial view is more reliable than the hindfoot alignment view. Skeletal Radiol. 2010;39(11):1103–1108. DOI: 10.1007/s00256-009-0857-9Reilingh M.L. et al. Measuring hindfoot alignment radiographically: the long axial view is more reliable than the hindfoot alignment view. Skeletal Radiol. 2010;39(11):1103–1108. DOI: 10.1007/s00256-009-0857-9Flores D.V. et al. Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings. Radiogr. Rev. Publ. Radiol. Soc. N. Am. Inc. 2019;39(5):1437–1460. DOI: 10.1148/rg.2019190046Flores D.V. et al. Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings. Radiogr. Rev. Publ. Radiol. Soc. N. Am. Inc. 2019;39(5):1437–1460. DOI: 10.1148/rg.2019190046Sengodan V.C, Amruth K.H., Karthikeyan. Bohler’s and Gissane Angles in the Indian Population. J. Clin Imaging Sci. 2012;(2):77. DOI:10.4103/2156-7514.10431030.Sengodan V.C, Amruth K.H., Karthikeyan. Bohler’s and Gissane Angles in the Indian Population. J. Clin Imaging Sci. 2012;(2):77. DOI:10.4103/2156-7514.10431030.Sinacore D.R. et al. Neuropathic midfoot deformity: associations with ankle and subtalar joint motion. J. Foot Ankle Res. 2013;6(1):11. DOI:10.1186/1757-1146-6-11Sinacore D.R. et al. Neuropathic midfoot deformity: associations with ankle and subtalar joint motion. J. Foot Ankle Res. 2013;6(1):11. DOI:10.1186/1757-1146-6-11Lamm B.M. et al. Normal foot and ankle radiographic angles, measurements, and reference points. J. Foot Ankle Surg. Elsevier, 2016;55(5):991–998. DOI:10.1053/j.jfas.2016.05.005Lamm B.M. et al. Normal foot and ankle radiographic angles, measurements, and reference points. J. Foot Ankle Surg. Elsevier, 2016;55(5):991–998. DOI:10.1053/j.jfas.2016.05.005Rammelt S., Marx C. Managing Severely Malunited Calcaneal Fractures and Fracture-Dislocations. Foot Ankle Clin. 2020;25(2):239–256. DOI: 10.1016/j.fcl.2020.02.005Rammelt S., Marx C. Managing Severely Malunited Calcaneal Fractures and Fracture-Dislocations. Foot Ankle Clin. 2020;25(2):239–256. DOI: 10.1016/j.fcl.2020.02.005Stephens H.M., Sanders R. Calcaneal Malunions: Results of a Prognostic Computed Tomography Classification System. Foot Ankle Int. 1996;17(7):395–401. DOI: 10.1177/107110079601700707Stephens H.M., Sanders R. Calcaneal Malunions: Results of a Prognostic Computed Tomography Classification System. Foot Ankle Int. 1996;17(7):395–401. DOI: 10.1177/107110079601700707Shah R. et al. Inter- and Intra-observer Reliability of a New Classification System for Calcaneus Fracture Malunions: The ADEINS Classification. Indian J. Orthop. 2023;57(12):2000–2010. DOI: 10.1007/s43465-023-01014-1Shah R. et al. Inter- and Intra-observer Reliability of a New Classification System for Calcaneus Fracture Malunions: The ADEINS Classification. Indian J. Orthop. 2023;57(12):2000–2010. DOI: 10.1007/s43465-023-01014-1Reddy V., Fukuda T., Ptaszek A.J. Calcaneus malunion and nonunion. Foot Ankle Clin. Elsevier, 2007;12(1):125–135. DOI:10.1016/j.fcl.2006.12.004Reddy V., Fukuda T., Ptaszek A.J. Calcaneus malunion and nonunion. Foot Ankle Clin. Elsevier, 2007;12(1):125–135. DOI:10.1016/j.fcl.2006.12.004Agarwala S., Sobti A. S. Lateral Wall Decompression for Malunited Calcaneal Fractures. The Journal of Foot and Ankle Surgery (Asia-Pacific). 2015;2(2):80-85. DOI: 10.5005/jp-journals-10040-1035Agarwala S., Sobti A. S. Lateral Wall Decompression for Malunited Calcaneal Fractures. The Journal of Foot and Ankle Surgery (Asia-Pacific). 2015;2(2):80-85. DOI: 10.5005/jp-journals-10040-1035Rammelt S. et al. Foot function after subtalar distraction bone-block arthrodesis: a prospective study. J. Bone Joint Surg. Br. 2004;86(5):659–668. DOI:10.1302/0301-620x.86b5.14205Rammelt S. et al. Foot function after subtalar distraction bone-block arthrodesis: a prospective study. J. Bone Joint Surg. Br. 2004;86(5):659–668. DOI:10.1302/0301-620x.86b5.14205Zwipp H., Rammelt S. Subtalare Arthrodese mit Calcaneus-Osteotomie. Orthop. 2006;35(4):387–404. DOI: 10.1007/s00132-005-0923-5Zwipp H., Rammelt S. Subtalare Arthrodese mit Calcaneus-Osteotomie. Orthop. 2006;35(4):387–404. DOI: 10.1007/s00132-005-0923-5Romash M.M. Reconstructive oblique calcaneal osteotomy with subtalar arthrodesis for malunited calcaneal fractures. Tech. Foot Ankle Surg. LWW, 2006;5(4):239–249. DOI: 10.1097/01.btf.0000235009.21478.95Romash M.M. Reconstructive oblique calcaneal osteotomy with subtalar arthrodesis for malunited calcaneal fractures. Tech. Foot Ankle Surg. LWW, 2006;5(4):239–249. DOI: 10.1097/01.btf.0000235009.21478.95Persaud S.J., Catanzariti A.R. Subtalar joint distraction arthrodesis utilizing a titanium truss: A case series. J. Foot Ankle Surg. Elsevier, 2019;58(4):785–791. DOI:10.1053/j.jfas.2018.11.022Persaud S.J., Catanzariti A.R. Subtalar joint distraction arthrodesis utilizing a titanium truss: A case series. J. Foot Ankle Surg. Elsevier, 2019;58(4):785–791. DOI:10.1053/j.jfas.2018.11.022Rammelt S., Zwipp H. Fractures of the calcaneus: current treatment strategies. Acta Chir. Orthop. Traumatol. Cech. 2014;81(3):177– 196. 42. Boruah T. et al. Concomitant spine and calcaneum fractures: a possible indication of less extensive injury. Spinal Cord Ser. Cases. 2022;(8):1. DOI:10.1038/s41394-021-00473-8Rammelt S., Zwipp H. Fractures of the calcaneus: current treatment strategies. Acta Chir. Orthop. Traumatol. Cech. 2014;81(3):177– 196. 42. Boruah T. et al. Concomitant spine and calcaneum fractures: a possible indication of less extensive injury. Spinal Cord Ser. Cases. 2022;(8):1. DOI:10.1038/s41394-021-00473-8Пахомов И.А., Рерих В.В., Борзых К.О., Фаламеева О.В., Диагностика и лечение сочетанных повреждений позвоночника и стоп. Хирургия Позвоночника. 2008;(1):8-13.Pakhomov I.A., Rerikh V.V., Borzykh K.O., Falameeva O.V., Diagnosis and treatment of concomitant injuries to the spine and feet Russian Journal of Spine Surgery. 2008;(1):8-13Rammelt S., Sangeorzan B.J., Swords M.P. Calcaneal Fractures — Should We or Should We not Operate? Indian J. Orthop. 2018;52(3):220–230. DOI:10.4103/ortho.IJOrtho_555_17Rammelt S., Sangeorzan B.J., Swords M.P. Calcaneal Fractures — Should We or Should We not Operate? Indian J. Orthop. 2018;52(3):220–230. DOI:10.4103/ortho.IJOrtho_555_17Farouk A. et al. Effect of Subtalar Fusion and Calcaneal Osteotomy on Function, Pain, and Gait Mechanics for Calcaneal Malunion. Foot Ankle Int. 2019;40(9):1094–1103. DOI: 10.1177/1071100719853291Farouk A. et al. Effect of Subtalar Fusion and Calcaneal Osteotomy on Function, Pain, and Gait Mechanics for Calcaneal Malunion. Foot Ankle Int. 2019;40(9):1094–1103. DOI: 10.1177/1071100719853291Ågren P.-H. et al. Post-traumatic in situ fusion after calcaneal fractures: a retrospective study with 7–28 years follow-up. Foot Ankle Surg. Elsevier, 2015;21(1):56–59. DOI: 10.1016/j.fas.2014.09.008Ågren P.-H. et al. Post-traumatic in situ fusion after calcaneal fractures: a retrospective study with 7–28 years follow-up. Foot Ankle Surg. Elsevier, 2015;21(1):56–59. DOI: 10.1016/j.fas.2014.09.008Зейналов В.Т., Шкуро К.В., Арапова И.А., Левин А.Н., Бобров Д.С., Оптимальное положение пяточной кости при хирургической коррекции посттравматической деформации заднего отдела стопы. Кафедра травматологии и ортопедии. 2023;3(53):27-37. DOI: 10.17238/2226-2016-2023-3-27-37Zeynalov V.T., Shkuro K.V., Arapova I.A., Levin A.N., Bobrov D.S., Optimal position of the calcaneus after surgical correction of posttraumatic hindfoot deformity Department of Traumatology and Orthopedics. 2023;3(53):27-37. DOI: 10.17238/2226-2016-2023-3-27-37Kassem M.S. et al. Sagittal resection osteotomy with bone block distraction subtalar fusion for treatment of malunited calcaneal fractures. J. Foot Ankle Surg. Elsevier, 2019;58(4):739–747. DOI:10.1053/j.jfas.2018.11.025Kassem M.S. et al. Sagittal resection osteotomy with bone block distraction subtalar fusion for treatment of malunited calcaneal fractures. J. Foot Ankle Surg. Elsevier, 2019;58(4):739–747. DOI:10.1053/j.jfas.2018.11.025Bednarz P.A., Beals T.C., Manoli A. Subtalar Distraction Bone Block Fusion: An Assessment of Outcome. Foot Ankle Int. 1997;18(12):785–791. DOI:10.1177/107110079701801206Bednarz P.A., Beals T.C., Manoli A. Subtalar Distraction Bone Block Fusion: An Assessment of Outcome. Foot Ankle Int. 1997;18(12):785–791. DOI:10.1177/107110079701801206Atkins R.M. The treatment of calcaneal malunion. Foot Ankle Clin. 2014;19(3):521–540. DOI:10.1016/j.fcl.2014.06.016Atkins R.M. The treatment of calcaneal malunion. Foot Ankle Clin. 2014;19(3):521–540. DOI:10.1016/j.fcl.2014.06.016Banerjee R. et al. Management of Calcaneal Malunion. JAAOS - J. Am. Acad. Orthop. Surg. 2011;19(1):27. DOI:10.5435/00124635-201101000-00004Banerjee R. et al. Management of Calcaneal Malunion. JAAOS - J. Am. Acad. Orthop. Surg. 2011;19(1):27. DOI:10.5435/00124635-201101000-00004Schepers T. The subtalar distraction bone block arthrodesis following the late complications of calcaneal fractures: a systematic review. The Foot. Elsevier, 2013;23(1):39–44. DOI:10.1016/j.foot.2012.10.004Schepers T. The subtalar distraction bone block arthrodesis following the late complications of calcaneal fractures: a systematic review. The Foot. Elsevier, 2013;23(1):39–44. DOI:10.1016/j.foot.2012.10.004Пахомов И.А. Хирургическая тактика и организация специализированной помощи пациентам с ортопедической патологией стопы и голеностопного сустава. диссертация на соискание ученой степени доктора медицинских наук. Новосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна›› Министерства здравоохранения Российской Федерации, Новосибирск, 2012.Pakhomov I.A. Surgical tactics and organization of specialized care for patients with orthopedic pathology of foot and ankle joints.// dissertation for the degree of Doctor of Medical Sciences. Novosibirsk Research Institute of Traumatology and Orthopedics named after Y. L. Tsivyan›› of the Ministry of Health of the Russian Federation. Novosibirsk, 2012.Lee J.Y. et al. Novel Utilization of 3D Printing Technology for a Chronic Malunited Calcaneum Fracture- A Case Report. Foot Ankle Surg. Tech. Rep. Cases. 2021;1(3):100051. DOI:10.1016/j.fastrc.2021.100051Lee J.Y. et al. Novel Utilization of 3D Printing Technology for a Chronic Malunited Calcaneum Fracture- A Case Report. Foot Ankle Surg. Tech. Rep. Cases. 2021;1(3):100051. DOI:10.1016/j.fastrc.2021.100051Buckley R.E., Tough S. Displaced Intra-articular Calcaneal Fractures. JAAOS - J. Am. Acad. Orthop. Surg. 2004;12(3):172. DOI:10.5435/00124635-200405000-00005Buckley R.E., Tough S. Displaced Intra-articular Calcaneal Fractures. JAAOS - J. Am. Acad. Orthop. Surg. 2004;12(3):172. DOI:10.5435/00124635-200405000-00005Joseph N.M. et al. Fixation of displaced intra-articular calcaneus fractures is safe using either sinus tarsi or extensile lateral approach. Injury. Elsevier, 2023;54(6):1824–1830. DOI: 10.1016/j.injury.2023.02.036Joseph N.M. et al. Fixation of displaced intra-articular calcaneus fractures is safe using either sinus tarsi or extensile lateral approach. Injury. Elsevier, 2023;54(6):1824–1830. DOI: 10.1016/j.injury.2023.02.036Attenasio A. et al. Postoperative wound complications in extensile lateral approach versus sinus tarsi approach for calcaneal fractures: Are we improving? Updated meta-analysis of recent literature. Injury. Elsevier, 2024;55(6):111560. DOI:10.1016/j.injury.2024.111560Attenasio A. et al. Postoperative wound complications in extensile lateral approach versus sinus tarsi approach for calcaneal fractures: Are we improving? Updated meta-analysis of recent literature. Injury. Elsevier, 2024;55(6):111560. DOI:10.1016/j.injury.2024.111560Larose G. et al. Soft tissue complications following extensile lateral compared with minimally invasive surgical approaches in the operative treatment of calcaneus fractures. Can. J. Surg. 2022;65(6):792. DOI: 10.1503/cjs.021221Larose G. et al. Soft tissue complications following extensile lateral compared with minimally invasive surgical approaches in the operative treatment of calcaneus fractures. Can. J. Surg. 2022;65(6):792. DOI: 10.1503/cjs.021221Rammelt S. et al. Severity of injury predicts subsequent function in surgically treated displaced intraarticular calcaneal fractures. Clin. Orthop. Relat. Res. LWW, 2013;471(9):2885–2898. DOI:10.1007/s11999-013-3062-zRammelt S. et al. Severity of injury predicts subsequent function in surgically treated displaced intraarticular calcaneal fractures. Clin. Orthop. Relat. Res. LWW, 2013;471(9):2885–2898. DOI:10.1007/s11999-013-3062-zBuzzi R. et al. Displaced intra-articular fractures of the calcaneus: ORIF through an extended lateral approach. Injury. Elsevier, 2019;50:2–7. DOI: 10.1016/j.injury.2019.01.037Buzzi R. et al. Displaced intra-articular fractures of the calcaneus: ORIF through an extended lateral approach. Injury. Elsevier, 2019;50:2–7. DOI: 10.1016/j.injury.2019.01.037

The authors declare that there are no conflicts of interest present.