Single-Incision Peroneal Tendon Repair With Concomitant Modified Dwyer Calcaneal Osteotomy: Report of 15 Cases With...

Area of Science:

• Orthopedic surgery
• Foot and ankle reconstruction
• Surgical technique assessment

Background:

• Hindfoot varus correction often involves calcaneal osteotomy and peroneal tendon repair.
• Performing these procedures through a single incision raises concerns about wound complications, nerve damage, and hardware issues.

Purpose of the Study:

• To evaluate the safety and efficacy of addressing hindfoot varus via calcaneal osteotomy with simultaneous peroneal tendon repair using a single incision.

Main Methods:

• Retrospective review of 15 patients undergoing modified Dwyer calcaneal osteotomy with lateral shift and peroneal tendon repair.
• Fixation was achieved with a laterally applied locking plate.
• Minimum 2-year follow-up included in-person visits, telephone, and chart review.

Main Results:

• No wound complications or nerve injuries were observed in the 15 assessed patients.
• One patient required hardware removal; one case of deep vein thrombosis occurred.
• Significant improvement in postoperative Roles and Maudsley and AOFAS hindfoot scores indicated excellent outcomes.

Conclusions:

• A single-incision approach for modified Dwyer calcaneal osteotomy and peroneal tendon repair is a viable option for hindfoot varus.
• This technique demonstrated a favorable safety profile with no reported wound or nerve complications in this series.