Abstract
Medializing calcaneal osteotomy is one of the most common procedures in flat foot alignment. Recently it has been done percutaneously with several different techniques, most of them made in lateral position. Our paper aims to describe the minimally invasive calcaneal medializing osteotomy in ventral position, easier for x-ray control, faster to patient positioning with technical tips to more precise bone cut and reduction. Between April 2019 and September 2019, 10 patients were operated using this technique. Patients in ventral position, sciatic nerve block, percutaneous Achilles lengthening, transcutaneous k-wire passage for drill cut control. Straight calcaneal cut, reduction in medial and plantar position and control both in lateral and axil views. 15 patients were operated using this technique. 67% were woman. Median age were 38.9 years and median BMI was 23.5.
Highlights
Medializing calcaneal osteotomy is one of the most common procedures in flat foot alignment
The disease starts as a ligamental insufficiency been done percutaneously with several different techniques, most of them made in lateral position
This paper describes the minimally invasive x-ray
Summary
All patients were able to bear full weight immediately. More swelling and pain was seen in the younger patients. Lateral and axial view of the calcaneus are made by only rotating the C-arm Another differential of this position is that the medial approach can be made. In this surgery the greater risk is to injure the calcaneus branch of the tibial nerve, once it’s the most posterior structure at medial side and is important for plantar sensibility. Several branches of the sural nerve are posterior, but they are responsible for a small not weight bearing area [21]. This way, a medial approach gives a better control and protection of medial structures, and in lateral.
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