Calcaneal Osteotomies in the Treatment of Progressive Collapsing Foot Deformity. What are the Restrictions for the Holy Grail?

Carsten Schlickewei; Alexej Barg

doi:10.1016/j.fcl.2021.05.003

Calcaneal Osteotomies in the Treatment of Progressive Collapsing Foot Deformity. What are the Restrictions for the Holy Grail?

Foot Ankle Clin. 2021 Sep;26(3):473-505. doi: 10.1016/j.fcl.2021.05.003. Epub 2021 Jun 24.

Authors

Carsten Schlickewei¹, Alexej Barg²

Affiliations

¹ Department of Orthopaedics, Trauma and Reconstructive Surgery, University of Hamburg, Martinistr. 52, Hamburg 20246, Germany.
² Department of Orthopaedics, Trauma and Reconstructive Surgery, University of Hamburg, Martinistr. 52, Hamburg 20246, Germany; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA; Department of Trauma and Orthopaedic Surgery, BG Hospital Hamburg, Bergedorfer Str. 10, Hamburg 21033, Germany. Electronic address: al.barg@uke.de.

PMID: 34332731
DOI: 10.1016/j.fcl.2021.05.003

Abstract

The progressive collapsing foot deformity is a complex three-dimensional deformity, including valgus malalignment of the heel. The medial displacement calcaneal osteotomy is an established surgical procedure reliably resulting in an efficient correction of the inframalleolar alignment. However, complications are common, including undercorrection of underlying deformity, progression of hindfoot osteoarthritis and/or deformity, and/or symptomatic hardware.

Keywords: Adult acquired flatfoot deformity; Clinical/radiographic outcomes; Complications; Medial displacement calcaneal osteotomy; Posterior tibial tendon dysfunction; Progressive collapsing foot deformity.

Publication types

Review

MeSH terms

Calcaneus* / surgery
Flatfoot*
Foot
Foot Deformities* / etiology
Foot Deformities* / surgery
Humans
Osteotomy