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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
Summary
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:
- 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.

