Journal article
Consensus for the Indication of a Medializing Displacement Calcaneal Osteotomy in the Treatment of Progressive Collapsing Foot Deformity
Foot & ankle international, Vol.41(10), pp.1282-1285
10/2020
DOI: 10.1177/1071100720950747
PMID: 32844661
Abstract
There is evidence that the medial displacement calcaneal osteotomy (MDCO) can be effective in treating the progressive collapsing foot deformity (PCFD). This juxta-articular osteotomy of the tuberosity shifts the mechanical axis of the calcaneus from a more lateral position to a more medial position, which provides mechanical advantage in the reconstruction for this condition. This also shifts the action of the Achilles tendon medially, which minimizes the everting deforming effect and improves the inversion forces. When isolated hindfoot valgus exists with adequate talonavicular joint coverage (less than 35%-40% uncoverage) and a lack of significant forefoot supination, varus, or abduction, we recommend performing this osteotomy as an isolated bony procedure, with or without additional soft tissue procedures. The clinical goal of the hindfoot valgus correction is to achieve a clinically neutral heel, as defined by a vertical axis from the heel up the longitudinal axis of the Achilles tendon and distal aspect of the leg. The typical range when performing a MDCO, while considering the location and rotation of the osteotomy, is 7 to 15 mm of correction.
Level V, consensus, expert opinion.
Details
- Title: Subtitle
- Consensus for the Indication of a Medializing Displacement Calcaneal Osteotomy in the Treatment of Progressive Collapsing Foot Deformity
- Creators
- Lew C Schon - Georgetown School of Medicine, Washington, DC, USACesar de Cesar Netto - University of IowaJonathan Day - Hospital for Special SurgeryJonathan T Deland - Hospital for Special SurgeryBeat Hintermann - Kantonsspital BasellandJeffrey E Johnson - Washington University in St. LouisMark S Myerson - University of Colorado DenverBruce J Sangeorzan - University of WashingtonDavid B Thordarson - Cedars-Sinai Medical CenterScott J Ellis - Hospital for Special Surgery
- Resource Type
- Journal article
- Publication Details
- Foot & ankle international, Vol.41(10), pp.1282-1285
- DOI
- 10.1177/1071100720950747
- PMID
- 32844661
- ISSN
- 1071-1007
- eISSN
- 1944-7876
- Language
- English
- Date published
- 10/2020
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984304709102771
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