Lateral Column Lengthening

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


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.


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



Calcaneocuboid joint


Lateral column lengthening


Medial displacement calcaneal osteotomy


Posterior tibial tendon dysfunction


Posterior tibial tendon


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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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