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

J Foot Ankle Surg. 2016 Sep-Oct;55(5):1121-6. doi: 10.1053/j.jfas.2016.05.006. Epub 2016 Jun 7.

Abstract

As a standard open approach, the lateral oblique incision has been widely used for calcaneal displacement osteotomy. However, just as with other orthopedic procedures that use an open approach, complications, including wound healing problems and neurovascular injury in the heel, have been reported. To help avoid these limitations, a percutaneous technique using a Shannon burr for calcaneal displacement osteotomy was introduced. However, relying on a free-hand technique without direct visualization at the osteotomy site has been a major obstacle for this technique. To address this problem, we developed a technical tip using a reference Kirschner wire. A reference Kirschner wire technique provides a reliable and accurate guide for minimally invasive calcaneal displacement osteotomy. Also, the technique should be easy to learn for surgeons new to the procedure.

Keywords: calcaneal displacement osteotomy; percutaneous; technique.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Bone Wires*
  • Calcaneus / diagnostic imaging*
  • Calcaneus / physiopathology
  • Calcaneus / surgery*
  • Follow-Up Studies
  • Foot Deformities, Acquired / diagnostic imaging
  • Foot Deformities, Acquired / surgery*
  • Humans
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods
  • Osteotomy / methods*
  • Patient Positioning
  • Radiography / methods
  • Risk Assessment
  • Treatment Outcome