Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Although double calcaneal osteotomy (medial displacement calcaneal osteotomy with lateral column lengthening) is widely regarded as an effective treatment option for flexible flatfoot, limited studies have extensively analyzed the degree of deformity correction in three dimensions following double calcaneal osteotomy. This study was performed to evaluate the radiographic and clinical effectiveness of double calcaneal osteotomy to correct flexible flatfoot deformities.
Methods: Thirty-one patients who had 44 symptomatic flexible flatfeet and underwent double calcaneal osteotomy were examined retrospectively with a mean follow-up of 50 months. Visual analog scale, foot and ankle activity measure, and other clinical data were obtained from medical records. Various radiographic variables for assessing flatfoot and osteoarthritic change in tarsal joints were analyzed from weightbearing radiographs.
Results: Clinical scores and radiographic variables were significantly improved postoperatively. The mean values of medial sliding and lateral lengthening were 7.6 and 8.7 mm, respectively. No osteoarthritic changes were observed.
Conclusions: Double calcaneal osteotomy could be used to correct flatfoot deformities effectively and sustainably and provide symptomatic relief and patient satisfaction.
Level Of Evidence: Level 4, retrospective case series.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11453064 | PMC |
| http://dx.doi.org/10.1186/s13018-024-05106-y | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Clinical and radiographic results of the use of a titanium wedge in pediatric patients undergoing calcaneal lengthening osteotomy for symptomatic flat foot.
J Pediatr Orthop B
September 2025
Pediatric Orthopedic Department, 'Buzzi' Children's Hospital.
Flatfoot is a common condition in children; surgical treatment should be reserved for severe and symptomatic cases. Calcaneal lengthening osteotomy (CLO) has been associated with good results; the original technique considers the use of allografts or autografts. This study aimed to evaluate advantages of a titanium trapezoidal wedge (TTW) in a pediatric population, compared with traditional grafts.
View Article and Find Full Text PDFThe Importance of the Entry Point and Osteotomy Direction in Calcaneal Lengthening Osteotomy.
Foot Ankle Orthop
July 2025
Department of Orthopaedics, Balgrist Hospital, University of Zurich, Switzerland.
Background: The Hintermann osteotomy (HOT) is one type of calcaneal lengthening osteotomy during progressive collapsing foot deformity surgery. The entry point on the lateral wall of the calcaneus is critical because it affects the direction and depth of the osteotomy. Accurate osteotomy placement can be technically demanding, and joint facets can sustain damage in up to 50% of the cases.
View Article and Find Full Text PDFMinimally invasive and open posterior calcaneal displacement osteotomy for pediatric hindfoot deformity: A comparative study.
Foot Ankle Surg
August 2025
Department of Surgery, Division of Orthopaedic Surgery, Hospital for Sick Children, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address:
Background: Minimally invasive posterior displacement calcaneal osteotomy (PDCO) is often used in hindfoot deformity correction in the adult population, but there is a paucity on its use in children. The aim of this study was to compare the clinical and radiographic outcomes of open versus minimally invasive PDCO (MI-PDCO) approach in children.
Methods: This is a consecutive series of PCDOs performed as a component of a complex foot and ankle reconstruction.
Adverse Outcomes in Pediatric Orthopaedic Surgery: Insights From the NSQIP Pediatric Database.
J Pediatr Orthop
August 2025
Department of Orthopaedic Surgery.
Background: Pediatric orthopaedic surgery encompasses many areas of subspecialization. To improve patient care, quality improvement efforts should focus on high-volume procedures with high complication rates. This study aims to identify these procedures to better target research and quality-improvement initiatives.
View Article and Find Full Text PDF[Ilizarov external fixation technique combined with limited osteotomy for post-traumatic equinovarus deformity].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
August 2025
Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, P. R. China.
Objective: To evaluate the effectiveness of correcting post-traumatic equinovarus deformity using Ilizarov external fixation technique combined with limited osteotomy.
Methods: A retrospective analysis was conducted on clinical data from 29 patients with post-traumatic equinovarus deformity treated between July 2018 and March 2023. The cohort included 18 males and 11 females, with ages ranging from 15 to 57 years (mean, 24.