Skip to main content
Erschienen in: Current Reviews in Musculoskeletal Medicine 4/2014

01.12.2014 | Modern Techniques in Lower Limb Realignment (DE Bonasia and P Phisitkul, Section Editors)

Calcaneus osteotomy

verfasst von: Joshua N. Tennant, Michael Carmont, Phinit Phisitkul

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2014

Einloggen, um Zugang zu erhalten

Abstract

Calcaneal osteotomy is an extra-articular, joint-sparing procedure that is used in the correction of cavovarus and planovalgus foot deformity. Careful indications and contraindications for the procedure, with meticulous surgical technique, should be followed to avoid complications and to achieve optimal outcomes. Multiple options of osteotomies exist, including translational (medializing and lateralizing calcaneal osteotomy, with ability to slide proximally or distally, closing wedge (Dwyer), and rotational type osteotomies (Evans, Z-osteotomy). Future directions for innovation include developments of both implants and surgical techniques.
Literatur
1.
Zurück zum Zitat Dwyer FC. Osteotomy of the calcaneum for pes cavus. J Bone Joint Surg (Br). 1959;41-b(1):80–6. Dwyer FC. Osteotomy of the calcaneum for pes cavus. J Bone Joint Surg (Br). 1959;41-b(1):80–6.
2.
Zurück zum Zitat Steindler A. The treatment of pes cavus (hollow claw foot). Arch Surg. 1921;2:325–37.CrossRef Steindler A. The treatment of pes cavus (hollow claw foot). Arch Surg. 1921;2:325–37.CrossRef
3.
Zurück zum Zitat Huber H, Galantay R, Dutoit M. Avascular necrosis after osteotomy of the talar neck to correct residual club-foot deformity in children. A long-term review. J Bone Joint Surg (Br). 2002;84(3):426–30.CrossRef Huber H, Galantay R, Dutoit M. Avascular necrosis after osteotomy of the talar neck to correct residual club-foot deformity in children. A long-term review. J Bone Joint Surg (Br). 2002;84(3):426–30.CrossRef
4.
Zurück zum Zitat Gleich A. Beitrag zur operativen plattfussbehandlung. Arch Klin Chir. 1893;46:383–8. Gleich A. Beitrag zur operativen plattfussbehandlung. Arch Klin Chir. 1893;46:383–8.
5.
Zurück zum Zitat Lord JP. Correction of extreme flatfoot. Value of osteotomy of os calcis and inward displacement of posterior fragment (Gleich operation). J Am Med Assoc. 1923; 81. Lord JP. Correction of extreme flatfoot. Value of osteotomy of os calcis and inward displacement of posterior fragment (Gleich operation). J Am Med Assoc. 1923; 81.
6.
Zurück zum Zitat Dwyer FC. Osteotomy of the calcaneum in the treatment of grossly everted feet with special reference to cerebral palsy. In huitiéme congrés internationale de chirurgie orthopédique. New York: Imprimerie de Sciences; 1960. Dwyer FC. Osteotomy of the calcaneum in the treatment of grossly everted feet with special reference to cerebral palsy. In huitiéme congrés internationale de chirurgie orthopédique. New York: Imprimerie de Sciences; 1960.
7.
Zurück zum Zitat Evans D. Calcaneo-valgus deformity. J Bone Joint Surg (Br). 1975;57(3):270–8. Evans D. Calcaneo-valgus deformity. J Bone Joint Surg (Br). 1975;57(3):270–8.
8.
Zurück zum Zitat Kennedy JG, Smyth NA, Fansa AM, et al. Anatomic lateral ligament reconstruction in the ankle: a hybrid technique in the athletic population. Am J Sports Med. 2012;40(10):2309–17.PubMedCrossRef Kennedy JG, Smyth NA, Fansa AM, et al. Anatomic lateral ligament reconstruction in the ankle: a hybrid technique in the athletic population. Am J Sports Med. 2012;40(10):2309–17.PubMedCrossRef
9.
Zurück zum Zitat Resnick RB, Jahss MH, Choueka J, et al. Deltoid ligament forces after tibialis posterior tendon rupture: effects of triple arthrodesis and calcaneal displacement osteotomies. Foot Ankle Int. 1995;16(1):14–20.PubMedCrossRef Resnick RB, Jahss MH, Choueka J, et al. Deltoid ligament forces after tibialis posterior tendon rupture: effects of triple arthrodesis and calcaneal displacement osteotomies. Foot Ankle Int. 1995;16(1):14–20.PubMedCrossRef
10.
Zurück zum Zitat Otis JC, Deland JT, Kenneally S, et al. Medial arch strain after medial displacement calcaneal osteotomy: an in vitro study. Foot Ankle Int. 1999;20(4):222–6.PubMedCrossRef Otis JC, Deland JT, Kenneally S, et al. Medial arch strain after medial displacement calcaneal osteotomy: an in vitro study. Foot Ankle Int. 1999;20(4):222–6.PubMedCrossRef
11.
Zurück zum Zitat Pomeroy GC, Manoli 2nd A. A new operative approach for flatfoot secondary to posterior tibial tendon insufficiency: a preliminary report. Foot Ankle Int. 1997;18(4):206–12.PubMedCrossRef Pomeroy GC, Manoli 2nd A. A new operative approach for flatfoot secondary to posterior tibial tendon insufficiency: a preliminary report. Foot Ankle Int. 1997;18(4):206–12.PubMedCrossRef
12.•
Zurück zum Zitat Kraus JC, Fischer MT, McCormick JJ, et al. Geometry of the lateral sliding, closing wedge calcaneal osteotomy: review of the two methods and technical tip to minimize shortening. Foot Ankle Int. 2014;35(3):238–42. Recent review of technique for performing a valgus-producing (closing wedge or lateral sliding) calcaneal osteotomy. Kraus JC, Fischer MT, McCormick JJ, et al. Geometry of the lateral sliding, closing wedge calcaneal osteotomy: review of the two methods and technical tip to minimize shortening. Foot Ankle Int. 2014;35(3):238–42. Recent review of technique for performing a valgus-producing (closing wedge or lateral sliding) calcaneal osteotomy.
13.
14.
Zurück zum Zitat Scott AT, Hendry TM, Iaquinto JM, et al. Plantar pressure analysis in cadaver feet after bony procedures commonly used in the treatment of stage II posterior tibial tendon insufficiency. Foot Ankle Int. 2007;28(11):1143–53.PubMedCrossRef Scott AT, Hendry TM, Iaquinto JM, et al. Plantar pressure analysis in cadaver feet after bony procedures commonly used in the treatment of stage II posterior tibial tendon insufficiency. Foot Ankle Int. 2007;28(11):1143–53.PubMedCrossRef
15.
Zurück zum Zitat Mosca VS. Calcaneal lengthening for valgus deformity of the hindfoot. Results in children who had severe, symptomatic flatfoot and skewfoot. J Bone Joint Surg Am. 1995;77(4):500–12.PubMed Mosca VS. Calcaneal lengthening for valgus deformity of the hindfoot. Results in children who had severe, symptomatic flatfoot and skewfoot. J Bone Joint Surg Am. 1995;77(4):500–12.PubMed
16.
Zurück zum Zitat Hintermann B, Valderrabano V, Kundert HP. Lateral column lengthening by calcaneal osteotomy combined with soft tissue reconstruction for treatment of severe posterior tibial tendon dysfunction. Methods and preliminary results. Orthopade. 1999;28(9):760–9.PubMed Hintermann B, Valderrabano V, Kundert HP. Lateral column lengthening by calcaneal osteotomy combined with soft tissue reconstruction for treatment of severe posterior tibial tendon dysfunction. Methods and preliminary results. Orthopade. 1999;28(9):760–9.PubMed
17.
Zurück zum Zitat Hintermann B, Valderrabano V, Kundert HP. Lengthening of the lateral column and reconstruction of the medial soft tissue for treatment of acquired flatfoot deformity associated with insufficiency of the posterior tibial tendon. Foot Ankle Int. 1999;20(10):622–9.PubMedCrossRef Hintermann B, Valderrabano V, Kundert HP. Lengthening of the lateral column and reconstruction of the medial soft tissue for treatment of acquired flatfoot deformity associated with insufficiency of the posterior tibial tendon. Foot Ankle Int. 1999;20(10):622–9.PubMedCrossRef
18.
Zurück zum Zitat Iaquinto JM, Wayne JS. Effects of surgical correction for the treatment of adult acquired flatfoot deformity: a computational investigation. J Orthop Res. 2011;29(7):1047–54.PubMedCrossRefPubMedCentral Iaquinto JM, Wayne JS. Effects of surgical correction for the treatment of adult acquired flatfoot deformity: a computational investigation. J Orthop Res. 2011;29(7):1047–54.PubMedCrossRefPubMedCentral
19.
20.
Zurück zum Zitat Jordan TH, Rush SM, Hamilton GA, et al. Radiographic outcomes of adult acquired flatfoot corrected by medial column arthrodesis with or without a medializing calcaneal osteotomy. J Foot Ankle Surg. 2011;50(2):176–81.PubMedCrossRef Jordan TH, Rush SM, Hamilton GA, et al. Radiographic outcomes of adult acquired flatfoot corrected by medial column arthrodesis with or without a medializing calcaneal osteotomy. J Foot Ankle Surg. 2011;50(2):176–81.PubMedCrossRef
21.
Zurück zum Zitat Lamm BM, Gesheff MG, Salton HL, et al. Preoperative planning and intraoperative technique for accurate realignment of the Dwyer calcaneal osteotomy. J Foot Ankle Surg. 2012;51(6):743–8.PubMedCrossRef Lamm BM, Gesheff MG, Salton HL, et al. Preoperative planning and intraoperative technique for accurate realignment of the Dwyer calcaneal osteotomy. J Foot Ankle Surg. 2012;51(6):743–8.PubMedCrossRef
22.
Zurück zum Zitat Zhou Y, Zhou B, Liu J, et al. A prospective study of midfoot osteotomy combined with adjacent joint sparing internal fixation in treatment of rigid pes cavus deformity. J Orthop Surg Res. 2014;9:44.PubMedCrossRefPubMedCentral Zhou Y, Zhou B, Liu J, et al. A prospective study of midfoot osteotomy combined with adjacent joint sparing internal fixation in treatment of rigid pes cavus deformity. J Orthop Surg Res. 2014;9:44.PubMedCrossRefPubMedCentral
23.
Zurück zum Zitat Eastwood DM, Irgau I, Atkins RM. The distal course of the sural nerve and its significance for incisions around the lateral hindfoot. Foot Ankle. 1992;13(4):199–202.PubMedCrossRef Eastwood DM, Irgau I, Atkins RM. The distal course of the sural nerve and its significance for incisions around the lateral hindfoot. Foot Ankle. 1992;13(4):199–202.PubMedCrossRef
24.•
Zurück zum Zitat Haugsdal J, Dawson J, Phisitkul P. Nerve injury and pain after operative repair of calcaneal fractures: a literature review. Iowa Orthop J. 2013;33:202–7. Relevant to nerve injury for surgical approaches to calcaneal osteotomies, which are largely the same as approaches for calcaneal fractures. No other specific review article on the topic is available. Haugsdal J, Dawson J, Phisitkul P. Nerve injury and pain after operative repair of calcaneal fractures: a literature review. Iowa Orthop J. 2013;33:202–7. Relevant to nerve injury for surgical approaches to calcaneal osteotomies, which are largely the same as approaches for calcaneal fractures. No other specific review article on the topic is available.
25.
Zurück zum Zitat Den Hartog BD, DiGiovanni CW, VanValkenburg SM, et al. Nerve Injury associated with lateral calcaneal osteotomy, in American orthopaedic foot and ankle specialty day, American academy of orthopaedic surgeons annual meeting. New Orleans, LA; 2014. Den Hartog BD, DiGiovanni CW, VanValkenburg SM, et al. Nerve Injury associated with lateral calcaneal osteotomy, in American orthopaedic foot and ankle specialty day, American academy of orthopaedic surgeons annual meeting. New Orleans, LA; 2014.
26.
Zurück zum Zitat Koman LA, Mooney 3rd JF, Goodman A. Management of valgus hindfoot deformity in pediatric cerebral palsy patients by medial displacement osteotomy. J Pediatr Orthop. 1993;13(2):180–3.PubMed Koman LA, Mooney 3rd JF, Goodman A. Management of valgus hindfoot deformity in pediatric cerebral palsy patients by medial displacement osteotomy. J Pediatr Orthop. 1993;13(2):180–3.PubMed
27.
Zurück zum Zitat Toolan BC, Sangeorzan BJ, Hansen Jr ST. Complex reconstruction for the treatment of dorsolateral peritalar subluxation of the foot. Early results after distraction arthrodesis of the calcaneocuboid joint in conjunction with stabilization of, and transfer of the flexor digitorum longus tendon to, the midfoot to treat acquired pes planovalgus in adults. J Bone Joint Surg Am. 1999;81(11):1545–60.PubMed Toolan BC, Sangeorzan BJ, Hansen Jr ST. Complex reconstruction for the treatment of dorsolateral peritalar subluxation of the foot. Early results after distraction arthrodesis of the calcaneocuboid joint in conjunction with stabilization of, and transfer of the flexor digitorum longus tendon to, the midfoot to treat acquired pes planovalgus in adults. J Bone Joint Surg Am. 1999;81(11):1545–60.PubMed
28.
Zurück zum Zitat Maskill MP, Maskill JD, Pomeroy GC. Surgical management and treatment algorithm for the subtle cavovarus foot. Foot Ankle Int. 2010;31(12):1057–63.PubMedCrossRef Maskill MP, Maskill JD, Pomeroy GC. Surgical management and treatment algorithm for the subtle cavovarus foot. Foot Ankle Int. 2010;31(12):1057–63.PubMedCrossRef
29.
Zurück zum Zitat Tucker DJ. Lateral column lengthening in adult flatfoot surgery using a titanium metal foam wedge implant. Tech Foot Ankle Surg. 2010;9(4):205–10.CrossRef Tucker DJ. Lateral column lengthening in adult flatfoot surgery using a titanium metal foam wedge implant. Tech Foot Ankle Surg. 2010;9(4):205–10.CrossRef
30.
Zurück zum Zitat Konan S, Meswania J, Blunn GW, et al. Mechanical stability of a locked step-plate versus single compression screw fixation for medial displacement calcaneal osteotomy. Foot Ankle Int. 2012;33(8):669–74.PubMedCrossRef Konan S, Meswania J, Blunn GW, et al. Mechanical stability of a locked step-plate versus single compression screw fixation for medial displacement calcaneal osteotomy. Foot Ankle Int. 2012;33(8):669–74.PubMedCrossRef
31.•
Zurück zum Zitat Tennant JN, Veljkovic A, Phisitkul P. Technique tip: percutaneous endoscopically-assisted calcaneal slide osteotomy. Iowa Orthop J. 2013;33:191–5. Describes a unique, newly developed technique for calcaneal slide that one of the authors (Phisitkul) uses for sliding calcaneal osteotomies. Tennant JN, Veljkovic A, Phisitkul P. Technique tip: percutaneous endoscopically-assisted calcaneal slide osteotomy. Iowa Orthop J. 2013;33:191–5. Describes a unique, newly developed technique for calcaneal slide that one of the authors (Phisitkul) uses for sliding calcaneal osteotomies.
Metadaten
Titel
Calcaneus osteotomy
verfasst von
Joshua N. Tennant
Michael Carmont
Phinit Phisitkul
Publikationsdatum
01.12.2014
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 4/2014
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-014-9237-8

Weitere Artikel der Ausgabe 4/2014

Current Reviews in Musculoskeletal Medicine 4/2014 Zur Ausgabe

Field Management of Sports Injuries (J Kinderknecht, Section Editor)

Collapsed athlete – atraumatic

Modern Techniques in Lower Limb Realignment (DE Bonasia and P Phisitkul, Section Editors)

Periacetabular osteotomy: a review of swiss experience

Field Management of Sports Injuries (J Kinderknecht, Section Editor)

Evaluation and treatment of trauma related collapse in athletes

Modern Techniques in Lower Limb Realignment (DE Bonasia and P Phisitkul, Section Editors)

High tibial osteotomy

Field Management of Sports Injuries (J Kinderknecht, Section Editor)

Spinal trauma

Modern Techniques in Lower Limb Realignment (DE Bonasia and P Phisitkul, Section Editors)

Distal femoral osteotomy

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.