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Percutaneous Calcaneal Osteotomies: Principles, Evolution, and Safety.

Andreas Toepfer¹, Hazibullah Waizy², Oliver Schipper³

¹Depatment of Foot and Ankle Surgery, Kantonsspital St.Gallen, Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparates, Rorschacher Strasse 95, St Gallen CH-9007, Switzerland.

Foot and Ankle Clinics

|July 26, 2025

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Percutaneous calcaneal osteotomies offer a minimally invasive approach to correct hindfoot deformities. This technique reduces complications like pain, infection, and nerve damage compared to traditional methods.

Area of Science:

Orthopedic Surgery
Foot and Ankle Surgery

Background:

Calcaneal osteotomies are standard surgical procedures for correcting hindfoot deformities.
Minimally invasive techniques aim to reduce surgical morbidity.

Purpose of the Study:

To review the evolution and current applications of percutaneous calcaneal sliding osteotomy.
To detail the procedural aspects and advantages of percutaneous calcaneal osteotomies.

Main Methods:

Review of existing literature on percutaneous calcaneal osteotomies.
Detailed description of the percutaneous calcaneal sliding osteotomy technique.
Inclusion of the percutaneous Zadek osteotomy for insertional Achilles tendinopathy.

Main Results:

Keywords:

Achilles insertional tendinopathy Calcaneal sliding osteotomy Hindfoot varus Minimally invasive calcaneal osteotomy Minimally invasive foot surgery Percutaneous foot surgery Pes planovalgus Zadek osteotomy

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Percutaneous calcaneal osteotomies significantly decrease soft tissue morbidity.

Reduced incidence of postoperative pain, wound complications, and nerve lesions.

Effective correction of hindfoot deformities with improved patient outcomes.

Conclusions:

Percutaneous calcaneal osteotomies represent an advanced, less invasive surgical option.
The technique offers substantial benefits in terms of reduced complications and faster recovery.
This approach is valuable for managing various hindfoot deformities and related conditions.