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Calcaneal Osteotomies.
Alan MacGill1, Davis Hendricks1, Michael Leaman1
1Podiatric Medicine and Surgery Residency Program, HCA Florida Northwest Hospital, Margate, FL, USA.
Clinics in Podiatric Medicine and Surgery
|November 20, 2025
Summary
Calcaneal osteotomies surgically realign the heel bone (calcaneus) to correct deformities like flatfoot (pes planus) and high-arched foot (pes cavus). These joint-sparing procedures improve foot mechanics, redistribute forces, and alleviate pain.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Reconstruction
- Biomechanics
Background:
- Hindfoot deformities, including pes planus (flatfoot) and pes cavus (high-arched foot), often require surgical intervention to restore function and reduce pain.
- Calcaneal osteotomies are established joint-sparing surgical techniques designed to correct hindfoot alignment and improve foot biomechanics.
- Understanding the indications, advantages, and surgical considerations of different calcaneal osteotomy types is crucial for effective treatment planning.
Purpose of the Study:
- To provide an overview of calcaneal osteotomies as a surgical approach for hindfoot deformities.
- To discuss the biomechanical benefits of realigning the calcaneus.
- To highlight common types of calcaneal osteotomies, including medial slide, lateral slide, and Dwyer osteotomy, and their specific applications.
Main Methods:
- Review of common calcaneal osteotomy techniques.
- Discussion of indications for each osteotomy type.
- Analysis of surgical considerations and potential advantages.
Main Results:
- Calcaneal osteotomies effectively realign the calcaneus, addressing deformities in conditions like pes planus and pes cavus.
- These procedures enhance foot biomechanics by optimizing force distribution.
- Common techniques include medial slide, lateral slide, and Dwyer calcaneal osteotomy, each offering specific benefits and requiring tailored surgical approaches.
Conclusions:
- Calcaneal osteotomies are valuable joint-sparing procedures for correcting hindfoot deformities.
- Successful realignment improves biomechanics, reduces pain, and enhances function.
- Selection of the appropriate osteotomy type is critical for optimal patient outcomes.
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