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Titrating the Amount of Bony Correction in Progressive Collapsing Foot Deformity
Scott J Ellis1, Jeffrey E Johnson2, Jonathan Day1
1Hospital for Special Surgery, New York, NY, USA.
Recommendation:
There is evidence indicating that the amount of bony correction performed in the setting of progressive collapsing foot deformity reconstructive surgery can be titrated within a recommended range for a variety of procedures. The typical range when performing a medial displacement calcaneal osteotomy should be 7 to 15 mm of medialization of the tuberosity. The typical range when performing an Evans lateral column lengthening should be 5 to 10 mm of a laterally based wedge in the anterior calcaneus. The typical range when performing a plantarflexion opening wedge osteotomy of the medial cuneiform (Cotton) osteotomy should be 5 to 10 mm of a dorsal wedge.
Level Of Evidence:
Level V, consensus, expert opinion.
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