Calcaneal Slide Osteotomy
The medial slide calcaneal osteotomy alters the pull of the gastrocnemius soleus muscle group slightly medial to the axis of the subtalar joint.
Calcaneal slide osteotomy. In a calcaneal osteotomy an incision is made on the outer or lateral side of the foot. Medial calcaneal sliding osteotomy is a surgical procedure designed to dramatically modify the existing shape of your foot creating an arch to correct flat feet. The calcaneal slide osteotomy is a common procedure used for the surgical correction of heel varus and valgus deformities. While not everyone with flat feet experiences pain the condition is closely associated with ankle and knee pain it can also alter your ideal leg alignment.
After the bone is cut it is moved to the desired location and fixed in place. The literature shows a high rate of hardware prominence with screws leading to subsequent removal of hardware. Surgeons can then achieve fixation using the 7 0 mm compression ft screws or the 6 5 compression pt screws. Arthrex s recently launched minimally invasive surgery platform allows surgeons to perform this osteotomy through a tiny incision.
Most often surgical implants such as screws hold the bones together and support healing. If perfectly aligned your heel bone should be directly underneath your shin bone tibia. This effectively places the achilles tendon medially and increases the varus pull on the hindfoot while correcting the rearfoot valgus alignment. The four most common types are the evans dwyer medial shift and lateral shift.
The purpose of a calcaneal osteotomy is to shift the heel bone towards the inside medial or outside lateral.