Gutenberg Open Science: Open versus endoscopic bone resection of the dorsolateral calcaneal edge : a cadaveric analysis comparing three dimensional CT scans

Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-8004

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DC Field	Value	Language
dc.contributor.author	Roth, Klaus Edgar	-
dc.contributor.author	Mueller, Ramona	-
dc.contributor.author	Schwand, Eike	-
dc.contributor.author	Maier, Gerrit Stefen	-
dc.contributor.author	Schmidtmann, Irene	-
dc.contributor.author	Sariyar, Murat	-
dc.contributor.author	Maus, Uwe	-
dc.date.accessioned	2022-10-14T07:28:17Z	-
dc.date.available	2022-10-14T07:28:17Z	-
dc.date.issued	2014
dc.identifier.uri	https://openscience.ub.uni-mainz.de/handle/20.500.12030/8019	-
dc.description.abstract	BACKGROUND: It has been claimed that endoscopic calcaneoplasty offers some advantages over open techniques in the surgical treatment of Haglund’s deformity due to reduced postoperative complications like stiffness and pain. Bony over-resection places patients at risk of these complications. The resulting question with regard to the quantitative differences of the extent of the bone removed using these two techniques has not yet been answered. The purpose of the study was to determine the resection volume of calcaneal bone for open and endoscopic surgical techniques. METHODS: 16 feet obtained from body donors were operated on in equal parts using either open surgical or endoscopic techniques, with the technique selected on a random basis. High-resolution CT scans were obtained before and after the interventional procedure and analysed to obtain 3-D polygon models. Post-operative models were subtracted from pre-operative models to provide the volume change resulting from the intervention. This was then correlated with the bone mineral density (BMD) of the preparation. RESULTS: The extent of bony resection was greater in open surgical techniques than in endoscopic approaches. The average volume of bone resection was 0.80 (±0.34) cm3 in the endoscopic group and 3.04 (±2.91) cm3 in the group that underwent open surgery. After adjustment for bone mineral density the extent of the resection was significantly larger (p = 0.018) in the group undergoing open surgery. The two groups did not differ significantly with regard to BMD (p > 0.1). The extent of the resection fell by 0.011 cm3 per 1 mg/cm3 areal bone mineral density, i.e., a slightly lower degree of bone resection was associated with a higher bone mineral density. CONCLUSIONS: Assuming that the resection volume was adequate to treat the patient’s complaints a smaller resection volume seen in our study using an endoscopic technique might lead to fewer postoperative complaints and faster recovery.	en_GB
dc.description.sponsorship	DFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin	de
dc.language.iso	eng	de
dc.rights	CC BY	*
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/	*
dc.subject.ddc	610 Medizin	de_DE
dc.subject.ddc	610 Medical sciences	en_GB
dc.title	Open versus endoscopic bone resection of the dorsolateral calcaneal edge : a cadaveric analysis comparing three dimensional CT scans	en_GB
dc.type	Zeitschriftenaufsatz	de
dc.identifier.doi	http://doi.org/10.25358/openscience-8004	-
jgu.type.dinitype	article	en_GB
jgu.type.version	Published version	de
jgu.type.resource	Text	de
jgu.organisation.department	FB 04 Medizin	de
jgu.organisation.number	2700	-
jgu.organisation.name	Johannes Gutenberg-Universität Mainz	-
jgu.rights.accessrights	openAccess	-
jgu.journal.title	Journal of foot and ankle research	de
jgu.journal.volume	7	de
jgu.journal.issue	1	de
jgu.pages.alternative	Art. 56	de
jgu.publisher.year	2014	-
jgu.publisher.name	BioMed central	de
jgu.publisher.place	London	de
jgu.publisher.uri	http://dx.doi.org/10.1186/s13047-014-0056-3	de
jgu.publisher.issn	1757-1146	de
jgu.organisation.place	Mainz	-
jgu.subject.ddccode	610	de
opus.date.modified	2018-08-09T08:26:28Z
opus.subject.dfgcode	00-000
opus.organisation.string	FB 04: Medizin: Institut für Med. Biometrie, Epidemologie und Informatik	de_DE
opus.organisation.string	FB 04: Medizin: Neurochirurgische Klinik und Poliklinik	de_DE
opus.organisation.string	FB 04: Medizin: Orthopädische Klinik und Poliklinik	de_DE
opus.identifier.opusid	50544
opus.importsource	WoS
opus.institute.number	0424
opus.institute.number	0441
opus.institute.number	0443
opus.metadataonly	false
opus.type.contenttype	Keine	de_DE
opus.type.contenttype	None	en_EN
opus.affiliated	Roth, Klaus Edgar
opus.affiliated	Schwand, Eike
opus.affiliated	Schmidtmann, Irene
jgu.publisher.doi	10.1186/s13047-014-0056-3	de
jgu.organisation.ror	https://ror.org/023b0x485	-
Appears in collections:	DFG-OA-Publizieren (2012 - 2017)

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