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Realignment Midfoot Osteotomy: A Preoperative Planning Method and Intraoperative Surgical Technique
Matthew Hentges1, Emily Pugh2, Martin G Gesheff3
1Fellowship Trained Foot & Ankle Surgeon, Faculty, Foot and Ankle Surgery Residency Program, Allegheny Health Network, West Penn Hospital, Pittsburgh, PA.
Summary
This study introduces a new planning method for midfoot osteotomies to correct foot deformities. The technique achieved significant improvements in radiographic alignment and good clinical outcomes.
Area of Science:
- Orthopedic surgery
- Foot and ankle reconstruction
- Surgical planning
Background:
- Midfoot osteotomies are common procedures for correcting foot deformities.
- Achieving a plantigrade forefoot to hindfoot relationship is the primary goal.
- Existing techniques for midfoot osteotomies vary, highlighting the need for standardized methods.
Purpose of the Study:
- To present an objective pre-operative planning method for midfoot osteotomies.
- To describe an intra-operative technique for accurate multiplanar realignment.
- To discuss the short-term clinical results of this novel approach.
Main Methods:
- Retrospective review of 18 patients (10 female, 8 male) who underwent realignment midfoot osteotomies.
- Utilized a specific pre-operative planning and intra-operative technique for multiplanar realignment.
- Mean follow-up of 25 months; mean patient age at surgery was 53 years.
Main Results:
- Statistically significant improvement in the anteroposterior talo-first metatarsal angle (p = .002).
- Significant improvement in the mechanical axis deviation of the foot (p = .02).
- Demonstrated accurate multiplanar radiographic realignment.
Conclusions:
- The presented pre-operative and intra-operative planning technique enables accurate multiplanar radiographic realignment of the midfoot.
- This method leads to good clinical results in patients undergoing midfoot osteotomies.
- The study validates a reproducible approach for correcting midfoot deformities.
