ABSTRACT
The purpose of this article is to examine complications in patients who underwent
bone grafting from the calcaneus between December 2001 and June 2010. This retrospective,
single-practice study included 247 procedures in 242 patients, including 200 (82.64%)
female and 42 (17.36%) male patients, ranging in age from 13 to 89 (median 49) years.
Overall, the incidence of experiencing any form of complication was 2.43% (6 of 247);
these included 5 (2.02%) feet that displayed donor site sural neuritis and 1 (0.41)
that displayed a painful, hypertrophic scar at the donor site. The only statistically
significant risk factor associated with the development of a calcaneal donor site
complication was white race (being African American was protective). These findings
indicate that procurement of autogenous bone graft from the calcaneus, as described
in this report, is safe and dependable with a low incidence of complications, and
irritation of the sural nerve is the most common complication associated with the
procedure. Further clinical and long-term follow-up studies controlling for confounding
variables need to be performed to fully determine the overall safety and efficacy
of this procedure.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: May 01, 2019
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
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© 2018 by the American College of Foot and Ankle Surgeons. All rights reserved.