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Percutaneus Calcaneal Displacement Osteotomy

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Minimally Invasive Surgery of the Foot and Ankle

Abstract

Calcaneal osteotomies are commonly performed procedures in the correction of compound deformities in the foot and ankle.1 They have been utilized for over 100 years in foot surgery with their first introduction by Gleich in 1893.1–11 Complications in the performance of the calcaneal osteotomy are rare.3,6,11 Among the complications seen through the standard lateral approach of a calcaneal osteotomy are: wound dehiscence, sural nerve damage, sural neuritis, delayed union, non–union, infection, and invasion of the medial neurovascular structures.3,6,9–11

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References

  1. Mahan KT, Flanigan PK. Pathologic pes valgus disorders. In: Banks AS, Downey MS, Martin DE, Miller SJ, eds. McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery. Philadelphia, PA: Lippincott Williams and Wilkins; 2001:799–899

    Google Scholar 

  2. Koutsogiannis E. Treatment of mobile flat foot by displacement osteotomy of the calcaneus. J Bone Joint Surg. 1971;53B:96–100.

    Google Scholar 

  3. Steven WB. Medial slide calcaneal osteotomy technique, patient selection, and results. Foot Ankle Clin. 2001;6:89–94.

    Article  Google Scholar 

  4. Trnka H–J, Easley ME, Myerson MS. The role of calcaneal osteotomies for correction of adult flatfoot. Clin Orthop Relat Res. 1999;1:50–64.

    Article  Google Scholar 

  5. Mann RA. Flatfoot in adults. In: Coughlin MJ, Mann RA, eds. Surgery of the Foot and Ankle. St Louis, MO: Mosby; 1999:733–767.

    Google Scholar 

  6. Mann RA, Guyton GP. Medial displacement osteotomy of the calcaneus and flexor digitorum longus transfer. In: Kitaoka HB, ed. The Foot and Ankle. Philadelphia, PA: Lippincott Williams and Wilkins; 2002:369–385.

    Google Scholar 

  7. Mendicino RW, Catanzariti AR, Reeves CL. Posterior calcaneal displacement osteotomy: a new percutaneous technique. J Foot Ankle Surg. 2004;43:332–335.

    Article  PubMed  Google Scholar 

  8. Dull JM, DiDomenico L. Percutaneous displacement calcaneal osteotomy. J Foot Ankle Surg. 2004;43:336–337.

    Article  PubMed  Google Scholar 

  9. Frankel J, Turf RM, Nichols D. Complications of calcaneal osteotomies. Clin Podiatric Med Surg. 1991;8:409–423.

    CAS  Google Scholar 

  10. David GL, Michael TC, Dirk GS, Stanley GC. Anatomic study of the medial neurovascular structures in relation to calcaneal osteotomy. Foot Ankle Int. 2001;22:569–571.

    Google Scholar 

  11. David PM, Roya M. Posterior calcaneal displacement osteotomy with lateral wall reduction. J Foot Ankle Surg. 2002;41:135–137.

    Article  Google Scholar 

  12. Andermahr J, Helling H, Rehm KE, Koebke Z. The vascularization of the os calcaneum and the clinical consequences. Clin Orthop Relat Res. 1999;363:212–218.

    Article  PubMed  Google Scholar 

  13. D’Souza NA, Kinchelow T, Lin S. Posterior tibial tendon dysfunction: tendon transfers, osteotomies, and lateral column lengthening. Curr Opin Orthop. 2002;13:81–88.

    Article  Google Scholar 

  14. Guyton GP, Jeng C, Kreiger LE, Mann RA. Flexor digitorum longus transfer and medial displacement calcaneal osteotomy for posterior tibial tendon dysfunction: a middle term clinical follow–up. Foot and Ankle Int. 2001;22:627–636.

    CAS  Google Scholar 

  15. Lawrence SJ, Wright RD. Posterior tibial tendon dysfunction: current concepts including operative and nonoperative approaches. Curr Opin Orthop. 2004;15:62–68.

    Article  Google Scholar 

  16. Pomeroy GC, Pike HR, Beals TC, Manoli A. Acquired flatfoot in adults due to posterior tibial tendon. J Bone Joint Surg. 1999;81–A:1173–1182.

    Google Scholar 

  17. Kohls–Galzoulis J, Angel JC, Singh D, Haddad F, Livingstone J, Berry G. Tibialis posterior dysfunction: a common and treatable cause of adult acquired flatfoot. Brit Med J. 2004;329:1328–1333.

    Article  Google Scholar 

  18. Murphy AG. Pes planus. In: Canale ST, ed. Campbell’s Operative Orthopedics. St Louis, MO: Mosby; 2003:4017–4045.

    Google Scholar 

  19. Giannini S, Ceccarelli F, Benedetti MG, Catani F, Faldini C. Surgical treatment of flexible flatfoot in children: a four year follow–up study. J Bone Joint Surg. 2001;83–A:73–79.

    Google Scholar 

  20. DeRosa GP. Flexible flatfoot. In: Gould JS, ed. Operative Foot Surgery. Philadelphia, PA: WB Saunders; 1994:834–857.

    Google Scholar 

  21. Torosian CM, Dias LS. Surgical treatment of severe hindfoot valgus by medial displacement osteotomy of the os calcis in children with myelomeningocele. J Pediatr Orthop. 2000;20:226–229.

    PubMed  CAS  Google Scholar 

  22. Buerk AA, Albert MC. Advances in pediatric foot and ankle treatment. Curr Opin Orthop. 2001;12:437–442.

    Article  Google Scholar 

  23. Hansen ST. Atlas of standard operative techniques. In: Hurley R, ed. Functional Reconstruction of the Foot and Ankle. Philadelphia, PA: Lippincott Williams and Wilkins; 2000:283–512.

    Google Scholar 

  24. Johnson KA, Strom DE. Tibialis posterior tendon dysfunction. Clin Orthop. 1989;39:196–206.

    Google Scholar 

  25. Marks R. Medial displacement calcaneal osteotomy with flexor digitorum longus tendon substitution for Stage II posterior tibial tendon insufficiency. Techn Foot Ankle Surg. 2003;2:222–231.

    Article  Google Scholar 

  26. Johnson KA. Tibialis posterior tendon rupture. Clin Orthop. 1983;177:140.

    PubMed  Google Scholar 

  27. Fayazi AH, Nguyen H–V, Juliano PJ. Intermediate term follow–up of calcaneal osteotomy and flexor digitorum longus transfer for treatment of posterior tibial tendon dysfunction. Foot Ankle Int. 2002;23:1107–1111.

    PubMed  Google Scholar 

  28. Wacker JT, Hennessey MS, Saxby TS. Calcaneal osteotomy and transfer of the tendon of flexor digitorum longus for Stage–II dysfunction of the tibialis posterior. Three to five year results. J Bone Joint Surg Br. 2002;84:54–58.

    Article  PubMed  CAS  Google Scholar 

  29. Myerson MS, Corrigan J. Treatment of posterior tibial tendon dysfunction with flexor digitorum longus tendon transfer and calcaneal osteotomy. Orthopaedics. 1996;19:383.

    CAS  Google Scholar 

  30. Myerson MS, Corrigan J, Thompson F. Tendon transfer with calcaneal osteotomy for treatment of posterior tibial tendon insufficiency: a radiological investigation. Foot Ankle Int. 1996;16:383.

    Google Scholar 

  31. Myerson MS. Adult acquired flatfoot deformity. J Bone Joint Surg. 1996;78A:780.

    Google Scholar 

  32. Sammarco GJ, Hockenbury T. Treatment of Stage II posterior tibial tendon dysfunction with flexor hallucis longus transfer and medial displacement calcaneal osteotomy. Foot Ankle Int. 2001;22:305.

    PubMed  CAS  Google Scholar 

  33. Mizel MS, Hecht PJ, Marymont JV, Temple TH. Evaluation and treatment of chronic ankle pain. J Bone Joint Surg. 2004;622–632.

    Google Scholar 

  34. Mosier SM, Pomeroy G, Monoli A. Pathoanatomy and etiology of posterior tibial tendon dysfunction. Clin Orthop Relat Res. 1999;365:12–22.

    Article  PubMed  Google Scholar 

  35. Mosca VS. The cavus foot. J Pediatr Orthop. 2001;21:423–424.

    PubMed  CAS  Google Scholar 

  36. Paulos L, Coleman S, Samuelson K. Pes cavovarus: review of a surgical approach using selective soft–tissue procedures. J Bone Joint Surg (Am). 1980;62:942–953.

    PubMed  CAS  Google Scholar 

  37. Watkins L. Radiology and imaging. In: Pocket Podiatrics, pp 227–242.

    Google Scholar 

  38. Felton G, Yale I. Congenital pes planus. In: Clinical Foot Roentgenology. Baltimore, MD: The Williams & Wilkins Company; 1966:209–214.

    Google Scholar 

  39. Anderson R, Davis W. Management of the adult flatfoot deformity. In: Myerson MS, ed. Foot and Ankle Disorders. Philadelphia, PA: W.B. Saunders Company; 2000:1017–1039.

    Google Scholar 

  40. Smith R, Sima WF, Reischl S. Can we meaningfully measure the flatfoot? A multi–examiner comparison of radiographic arch structure measurements. Presented at: The American Foot and Ankle Society Meeting; July 22–25, 1993; Asheville, NC.

    Google Scholar 

  41. Saltzman CL, El–Khoury GY. The hindfoot alignment view. Foot Ankle Int. 1995;6:572–575.

    Article  Google Scholar 

  42. Paley D. Principles of Deformity Correction. New York, NY: Springer; 2002:46

    Google Scholar 

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Correspondence to Lawrence A. DiDomenico .

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DiDomenico, L.A., Anain, J.M., LaCivita, M.D. (2010). Percutaneus Calcaneal Displacement Osteotomy. In: Maffulli, N., Easley, M. (eds) Minimally Invasive Surgery of the Foot and Ankle. Springer, London. https://doi.org/10.1007/978-1-84996-417-3_19

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  • DOI: https://doi.org/10.1007/978-1-84996-417-3_19

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