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Calcaneal osteotomy for hindfoot deformity.

Jean Brilhault1

  • 1Service de Chirurgie Orthopédique, Hôpital Trousseau, CHRU de Tours, avenue de la République, Chambray-lès-Tours, 37044 Tours cedex 9, France; Faculté de Médecine de Tours, 10, boulevard Tonnellé, 37032 Tours cedex 1, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|October 23, 2021
PubMed
Summary

This study details three calcaneal osteotomy techniques for hindfoot deformity correction. These surgical methods address complex foot deformities by reorienting bone structures for improved function.

Keywords:
CalcaneumFlatfootFootOsteotomyPes cavusSurgery

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Skeletal Biomechanics

Background:

  • Hindfoot deformity requires conservative surgical treatment.
  • Calcaneal osteotomy offers static, architectural, and dynamic benefits.
  • Existing calcaneal osteotomies vary in approach and effect.

Purpose of the Study:

  • To describe three primary calcaneal osteotomy techniques for hindfoot deformities.
  • To present surgical modifications addressing common complications.
  • To provide expert guidance on managing complex foot deformities.

Main Methods:

  • Description of three calcaneal osteotomies: talar varus/valgus, valgus flatfoot, and midfoot abductus/adductus.
  • Detailed surgical techniques including percutaneous medializing osteotomy, Hintermann cervical adduction osteotomy, and lateralizing osteotomy.
  • Discussion of modifications to address surgical challenges and improve outcomes.

Main Results:

  • Medializing osteotomy performed percutaneously minimizes skin complications and aids valgus flatfoot correction.
  • Hintermann cervical adduction osteotomy achieves significant angular correction with a preserved medial cortical hinge.
  • Lateralizing osteotomy via a medial approach enhances translation and prevents tarsal tunnel syndrome.

Conclusions:

  • Mastery of these three calcaneal osteotomy techniques is crucial for complex hindfoot deformity correction.
  • These techniques, often combined with other procedures, require careful execution due to the foot's limited vascularization and time constraints.
  • The described modifications aim to improve safety and efficacy in treating diverse hindfoot deformities.