Calcaneal Slide Osteotomy Technique

The lateral calcaneus cortex is exposed using a lateral incision.

Calcaneal slide osteotomy technique. The calcaneus or heel bone plays an important role in walking. Medializing calcaneal osteotomy is the workhorse operation for correction of hindfoot valgus reliably correcting deformity with a relatively low complication risk. The heel bone called the calcaneus is the main bone that lies in the heel of the hindfoot. The osteotomy is performed through an oscillating saw.

The rationale for the use of the screw radiographic evidence and surgical steps are provided. 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. A specialized calcaneal slide plate was an effective fixation device for both medial and lateral calcaneal slide osteotomies for a variety of foot and ankle conditions. Calcaneal osteotomy cadaveric lab with nicholas abidi md dr.

A calcaneal osteotomy comprises of making a cut across the heel bone and shifting it toward the inside medial or outside lateral. What is a calcaneal osteotomy. A calcaneal osteotomy is a controlled break of the heel bone performed by a foot and ankle orthopaedic surgeon to correct deformity of the foot and ankle. The union rate was 100 and none of the patients had hardware symptoms which is an improvement on published reports of symptomatic hardware after calcaneal slide osteotomy.

A step by step guide to surgical technique. By sliding the posterior tuber of the calcaneus 1 cm medially the mechanical axis of the limb is medialized thereby decreasing the stress on the posterior tibial tendon s mechanics to invert the hindfoot. The heel bone can be realigned to achieve a different orientation which can correct many different deformities and foot ankle problems. When the heel is observed from behind it is generally situated in line with the leg.

Branches of the lateral calcaneal nerve are directly in. Arthrex s recently launched minimally invasive surgery platform allows surgeons to perform this osteotomy through a tiny incision. Nicholas abidi performs a medial calcaneal osteotomy to correct an adult flatfoot deformity using large acutrak 2 7 5 screws. Percutaneous endoscopically assisted calcaneal slide osteotomy calcaneal osteotomy procedures using a power saw 1 5 7.

A calcaneal osteotomy is a common technique used to treat stage ii flatfoot deformity. Some have advocated fixed angle locking step off plates for the medial slide calcaneal osteotomy. These plates have an incorporated translational distance with a step off to allow for the desired medial shift 6 to 10 mm of the calcaneal tuberosity. This article reviews indications techniques complications and outcomes for the medializing calcaneal osteotomy.