Minimally Invasive Calcaneal Displacement Osteotomy Site Using a Reference Kirschner Wire: A Technique Tip

The incision strategy for minimizing sural nerve injury in medial displacement calcaneal osteotomy: a cadaveric study

“…In open procedures for MDCO, the oblique incision may be made equal to the osteotomy line at the back of more than one third of the line connecting the posteroinferior apex of the calcaneus from the tip of the lateral malleolus within the proposed incision criteria. Lee et al [12] discussed the importance of selecting the entry point for the burr in minimally invasive procedures for MDCO; however, they did not propose an accurate entry point. Therefore, the proposed incision criteria in this study can be useful for minimizing iatrogenic damage to the sural nerve in both open and minimally invasive/percutaneous medial displacement osteotomies.…”

Minimal Incision/Minimally Invasive Medializing Displacement Calcaneal Osteotomy

“…If a jig is not available, an alternative technique may be employed using a K-wire as a guide. 26 Once the Shannon burr is advanced, with the limb held in a position to obtain a lateral fluoroscopic view, a K-wire is used to mark the intended trajectory of the osteotomy site, slightly posterior to the course of the burr. This is marked on the skin.…”

Minimally Invasive Flat Foot Alingment: A New Method

“…Some recent evidence has shown that in many cases, the disease starts as a ligamental insufficiency and the healthy tibialis posterior reacts trying to compensate and in a later pathology moment degenerate. (1,5,8,10) This new understanding led to surgeries to address ligament reconstruction preserving tibialis posterior (1,3,5,6,8) or isolated calcaneal osteotomies to give a better leaver arm for the tendon function (11,12,13). Minimally invasive calcaneal osteotomy is one possible technique for flat foot correction with many possible advantages are earlier weight bearing and earlier consolidation.…”

“…Minimally invasive calcaneal osteotomy is one possible technique for flat foot correction with many possible advantages are earlier weight bearing and earlier consolidation. (11,12,13) Most descriptions about this technique are made with the patient in lateral position with a lateral approach in a similar fashion as open techniques. (11,12,13).…”

“…(11,12,13) Most descriptions about this technique are made with the patient in lateral position with a lateral approach in a similar fashion as open techniques. (11,12,13). This paper describes the minimally invasive technique made by one lateral or medial approach in a ventral position and our initial results.…”