Abstract
Lateral column lengthening (LCL) is a procedure that has been used for many years to address flatfoot deformity. However, it is associated with several risks including overcorrection and excessive stiffness. LCL is often preferred over hindfoot fusions as it preserves motion. Herein, LCL, by way of using the stepcut osteotomy, is described in detail. Use of operative guidance tools, such as trial metal wedges and a hindfoot alignment radiographic assessment can significantly improve correction of the deformity, leading to more successful outcomes. Auxiliary procedures that may be combined with LCL such as medial slide calcaneal osteotomy and spring ligament reconstruction are discussed as well.
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