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Minimally Invasive Calcaneal Displacement Osteotomy Site Using a Reference Kirschner Wire: A Technique Tip
Moses Lee1, Gregory P Guyton2, Talal Zahoor2
1Orthopaedic Surgeon, Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD; Orthopaedic Surgeon, Department of Orthopaedic Surgery, Yonsei Sarang Hospital, Seoul, South Korea.
Summary
A new reference Kirschner wire technique improves minimally invasive calcaneal displacement osteotomy. This method offers a reliable guide, overcoming limitations of free-hand percutaneous approaches for foot surgery.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
- Foot and Ankle Surgery
Background:
- The lateral oblique incision is a standard open approach for calcaneal displacement osteotomy.
- Open approaches carry risks such as wound healing issues and neurovascular injury.
- Percutaneous techniques aim to mitigate these complications but often lack precision.
Observation:
- Free-hand percutaneous calcaneal displacement osteotomy lacks direct visualization of the osteotomy site.
- A novel technical tip using a reference Kirschner wire has been developed.
- This technique aims to provide a reliable guide for the procedure.
Findings:
- The reference Kirschner wire technique offers a reliable and accurate method for minimally invasive calcaneal displacement osteotomy.
- It addresses the visualization limitations of previous percutaneous approaches.
- The technique is designed to be easily learned by surgeons.
Implications:
- This technique enhances the safety and accuracy of minimally invasive calcaneal displacement osteotomy.
- It may reduce complications associated with open surgical methods.
- Facilitates wider adoption of percutaneous techniques in foot surgery.
