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A comparison of treatment between mini T-plate and headless cannulated compression screw in calcaneal osteotomy

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Abstract

Purpose

In clinical studies, we discovered that when using headless cannulated compression screw fixation, many patients complain of heel pain and frequently need to have the screws removed, whereas this occurrence is uncommon with plate fixation. This study aims to compare the clinical outcome of a mini T-plate and headless cannulated compression screws in calcaneal osteotomy.

Methods

We reviewed the medical records of patients who had calcaneal osteotomy performed by one senior chief surgeon in our hospital between January 2014 and May 2021. Thirty-nine patients met the selection criteria: 22 were fixed using a mini T-plate through a modified small “L” incision on the lateral aspect of the calcaneus and 17 were fixed using double screws through an oblique incision on the lateral aspect of the calcaneus. Then, we compared the patient demographics, surgical statistics, and postoperative complications in calcaneal osteotomy between a mini T-plate and double 6.5-mm headless cannulated compressed screws.

Results

Each patient attained radiographic union. The average age was 49.23±13.80 (range: 24–76) years and the average follow-up duration was 47.07±8.64 (range: 36–66) weeks. The average operation duration and times of intraoperative fluoroscopy were significantly lower in the mini T-plate group (P<0.05). There was a savings of $838.88 per patient when using double screws for fixation. The incidence of hardware-related pain and implant removal was lower in the mini T-plate group (P<0.05). There is no significant difference between the two groups in terms of delayed incision healing and clinical neurological complications (P>0.05).

Conclusions

In calcaneal osteotomy, the operation duration, times of intraoperative fluoroscopy, hardware-related pain, and implant removal rate were lower with mini T-plate fixation than with double screws fixation. Therefore, we consider that the mini T-plate would be a good alternative to double screws in calcaneal osteotomy.

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Data availability

Data available on request from the authors.

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Authors and Affiliations

  1. Department of Orthopedics, the First Affiliated Hospital of Soochow University; Soochow University, Suzhou, Jiangsu, China

    Yu Cheng, Jun Zou, Changbao Wang, Mingyang Gao, Huiling Yang & Hongtao Zhang

  2. Department of Orthopedics, Dushu Lake Hospital Affiliated to Soochow University; Soochow University, Suzhou, Jiangsu, China

    Junhui Xing & Piqian Zhao

Authors
  1. Yu Cheng
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  2. Jun Zou
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  3. Changbao Wang
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  4. Junhui Xing
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  5. Piqian Zhao
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  6. Mingyang Gao
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  7. Huiling Yang
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  8. Hongtao Zhang
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Yu Cheng and Mingyang Gao. The first draft of the manuscript was written by Yu Cheng, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Mingyang Gao, Huiling Yang or Hongtao Zhang.

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The local ethics committee approved this research.

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Informed consent was obtained from all individual participants included in the study.

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The authors affirm that human research participants provided informed consent for publication of the images in Figs. 1, 2, and 3.

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The authors declare no competing interests.

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Cheng, Y., Zou, J., Wang, C. et al. A comparison of treatment between mini T-plate and headless cannulated compression screw in calcaneal osteotomy. International Orthopaedics (SICOT) 47, 1995–2001 (2023). https://doi.org/10.1007/s00264-023-05840-8

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  • DOI: https://doi.org/10.1007/s00264-023-05840-8

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