Calcaneal Osteotomies

Abstract

The current trend is to preserve the hindfoot joints to allow for more normal biomechanics and avoid arthritic changes in adjacent joints. Calcaneal osteotomies are effective in the treatment of hindfoot and foot malalignment with an acceptable rate of complications at medium-term follow-up. An important prerequisite should be flexibility and the absence of joint arthritis.

Corrective Osteotomies Used in Cavus Reconstruction

“…In the case of a cavus correction, the posterior tuber can be slid laterally; a lateral wedge can be removed from the central osteotomy to correct varus, or a rectangular section of bone can be removed from this area to slide the posterior tuber proximally to improve calcaneal inclination. 34,37 …”

“…[34][35][36] Originally described by Malerba, it has been described as a correction or varus or valgus calcaneal deformity. Exposure is undertaken through a lateral curvilinear incision inferior to the peroneal tendons.…”

Osteotomies for the Flexible Adult Acquired Flatfoot Disorder

“…3). 10-12 A more proximal calcaneal Z osteotomy was introduced by Malerba and DeMarchi, 13 which involved a lateral closing wedge resection for the treatment of hindfoot varus; this procedure was then modified by Weil and Roukis 14 to treat hindfoot valgus by shifting the posterior calcaneus medially and incorporating laterally based wedge grafts in the dorsal and/or plantar arms of the Z osteotomy.…”

Calcaneus osteotomy

“…Similarly to osteotomies of the first metatarsal a scarf joint has the ability to be moved in all 3 planes and yet still preserve stability [13] (Fig. 1C).…”