Medial displacement calcaneal osteotomy in treatment of stage II posterior tibial tendon deficiency

El-Sayed, Nady; Fadel, Mohamed; Yosef, Ahmed O; Soliman, Amr Mohamed Mohamed

doi:10.4103/eoj.eoj_9_18

Cited by 1 publication

(1 citation statement)

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“…Despite a rasping or reduction of the outcropping that results from the translational osteotomy in the open cases, the location of the incision that is over the osteotomy site has a propensity to cause pain. 6 This was not observed in our cohort, likely because the percutaneous incision was small and subsequently there was minimal formation of scar tissue at the site of the incision.…”

Section: Discussionmentioning

confidence: 66%

Complications After Percutaneous Osteotomies of the Calcaneus

deMeireles

Guzman

Nordio

et al. 2022

Foot & Ankle Orthopaedics

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Background: Open hindfoot surgery is associated with a relatively high rate of complications, including neurovascular injuries and wound healing problems compared with percutaneous techniques. However, there is a scarcity of literature describing the outcomes of these percutaneous techniques given their relatively recent adoption. The present study aims to assess the rate of postoperative complications for 3 commonly performed percutaneous calcaneal osteotomies. Methods: One hundred eighteen patients (unilateral feet) were treated with one of 3 common percutaneous calcaneal osteotomies. Sixty-five patients (55.1%) were treated with a medializing calcaneal osteotomy for hindfoot valgus, 32 patients with a Zadek osteotomy (27.1%) for insertional Achilles tendinopathy, and 21 patients (17.8%) with a modified Dwyer osteotomy for hindfoot varus. Fisher exact test was used to assess for associations between categorical variables. Results: The mean age was 46.2 years and there was a mean follow-up of 16.1 months. The overall rate of postoperative complications was 3.4% (n = 4), and no significant differences were found between the different osteotomy types. Complications included 2 cases (1.7%) of transient neuritis, 1 case of prolonged wound drainage (0.8%), and 1 nonunion (0.8%). None of the complications were associated with any recorded preoperative comorbidity. Discussion: In this series, we found that percutaneous calcaneal osteotomies are a safe alternative method for the treatment of conditions involving the hindfoot. The rate of postoperative complications may be less when compared to the reported rates of open hindfoot correction and should be considered in patients with a traditionally high risk of developing a postoperative complication. Level of Evidence: Level IV, retrospective analysis.

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Section: Discussionmentioning

confidence: 66%