Medial Calcaneal Slide Osteotomy Technique

When the heel is observed from behind it is generally situated in line with the leg.

Medial calcaneal slide osteotomy technique. The four most common types are the evans dwyer medial shift and lateral shift. In addition the medial slide calcaneal osteotomy utilizes the same incision as the osteotomy decreasing the need to make a separate incision for screw fixation at the posterior heel. Daniel abstract the medializing calcaneal osteotomy is a frequently performed procedure usually done in conjunction with a flexor tendon transfer as part of a flatfoot correction surgery. 25 medializing calcaneal osteotomy brian s.

Although further prospective randomized clinical trials are needed early weightbearing may be possible with the use of locking plate fixation for medial slide calcaneal osteotomies. Traditionally the osteotomy is performed using a direct lateral or extended lateral approach which may carry the risk of wound problems infection and neurovascular injury. The incision was carried down through the skin only with a 15 blade knife. A calcaneal osteotomy comprises of making a cut across the heel bone and shifting it toward the inside medial or outside lateral.

This article reviews indications techniques complications and outcomes for the medializing calcaneal osteotomy. In this setting plantar fascia release has traditionally been performed through an incision over the medial calcaneal tuberosity and the calcaneal osteotomy through a lateral incision. In a calcaneal osteotomy an incision is made on the outer or lateral side of the foot. Calcaneal osteotomy cadaveric lab with nicholas abidi md dr.

Jordan grossman demonstrates a medial displacement calcaneal osteotomy using fixos 2. This animation represents an extract of the surgical technique. Winters and joseph n. Dr performed a lateral slding calcaneal osteotomy along with a lateral column lengthening need help with cpt code.

Nicholas abidi performs a medial calcaneal osteotomy to correct an adult flatfoot deformity using large acutrak 2 7 5 screws. The rationale for the use of the screw radiographic evidence and surgical steps are provided. By sliding the posterior tuber of the calcaneus 1 cm medially the mechanical axis of the limb is. Medial displacement calcaneal osteotomy is a common procedure often used as part of pes planovalgus deformity correction.

Plantar fascia release and calcaneal slide osteotomy are often components of the surgical management for cavovarus deformities of the foot. The heel bone called the calcaneus is the main bone that lies in the heel of the hindfoot. Medializing calcaneal osteotomy is the workhorse operation for correction of hindfoot valgus reliably correcting deformity with a relatively low complication risk.