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Lateral Column Lengthening

  • Kyle S. Peterson
  • David Larson
  • Roberto A. Brandão
Chapter

Abstract

Posterior tibial tendon dysfunction (PTTD) is a debilitating and painful musculoskeletal condition seen in both the adult and pediatric patient populations. Stage II PTTD is commonly treated with periarticular osteotomies due to its flexible nature and generally minimal arthritic changes of the subtalar or talonavicular joints. Commonly a flexor digitorum longus tendon transfer is incorporated into the reconstruction to support the medial column and replace the functionally incompetent posterior tibial tendon. To support this transfer and correct for forefoot abduction and calcaneus valgus, a lateral column lengthening osteotomy or a multi-planar calcaneal Z osteotomy can be utilized to correct the pes planovalgus deformity. This chapter focuses on in-depth surgical reconstruction techniques for the traditional lateral column lengthening, calcaneal Z osteotomy, and anterior calcaneal Z osteotomy for the correction of flexible pes planus deformity correction.

Keywords

Adult-acquired flatfoot Posterior tibial tendon dysfunction Pes planovalgus Pediatric pes planovalgus Lateral column lengthening Calcaneal Z osteotomy Calcaneal osteotomy 

Abbreviations

CCJ

Calcaneocuboid joint

LCL

Lateral column lengthening

MDCO

Medial displacement calcaneal osteotomy

PTTD

Posterior tibial tendon dysfunction

PTT

Posterior tibial tendon

References

  1. 1.
    Evans DE. Calcaneo-valgus deformity. JBJS. 1975;57:270–8.Google Scholar
  2. 2.
    Malerba F, De Marchi F. Calcaneal osteotomies. Foot Ankle Clin. 2005;10(3):523–40.CrossRefGoogle Scholar
  3. 3.
    Weil LS Jr, Roukis TS. The calcaneal scarf osteotomy: operative technique. J Foot Ankle Surg. 2001;40(3):178–82.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Kyle S. Peterson
    • 1
  • David Larson
    • 2
  • Roberto A. Brandão
    • 3
  1. 1.Suburban Orthopaedics, Division of Foot and Ankle SurgeryBartlettUSA
  2. 2.Steward Health Care, Department of PodiatryGlendaleUSA
  3. 3.The Centers for Advanced Orthopaedics, Orthopaedic Associates of Central Maryland DivisionCatonsvilleUSA

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