Calcaneal tuberosity osteotomies are commonly used to treat coronal plane deformities of the hindfoot. Assessing hindfoot alignment can be difficult and there is little evidence to guide the physician when considering the surgical treatment of these deformities. The indications for a calcaneal osteotomy are unclear in the literature because most of the published studies supporting their use are confounded by concurrent procedures such as in adult-acquired flatfoot correction or cavovarus reconstruction. For the same reason, the biomechanical consequences, long-term effects, and performance in vivo are largely unknown.
LordJP. Correction of extreme flat-foot. Value of osteotomy of os calcis and inward displacement of posterior fragment. JAMA. 1923;(LXXXI):1502-1506.
3.
ChambersEF. An operation for the correction of flexible flatfoot of adolescents. West J Surg Obstet Gynecol. 1946;54:77-86.
4.
BakerLDHillLM. Foot alignment in the cerebral palsy patient. J Bone Joint Surg Am. 1964;46:1-15.
5.
SelakovichWG. Medial arch support by operation: sustentaculum tali procedure. Orthop Clin North Am. 1973;4:117-144.
6.
SilverCMSimonSDSpindellELitchmanHMScalaM. Calcaneal osteotomy for valgus and varus deformities of the foot in cerebral palsy. A preliminary report on twenty-seven operations. J Bone Joint Surg Am. 1967;49:232-246.
7.
DelandJTPageAEKenneallySM. Posterior calcaneal osteotomy with wedge: cadaver testing of a new procedure for insufficiency of the posterior tibial tendon. Foot Ankle Int. 1999;20:290-295.
8.
KoutsogiannisE. Treatment of mobile flat foot by displacement osteotomy of the calcaneus. J Bone Joint Surg Br. 1971;53:96-100.
9.
DwyerF. A new approach to the treatment of pes cavus. Sixieme Congres internatioale de Chirurgie orthopedique. 1955:551-558.
10.
DwyerF. Osteotomy of the Calcaneum in the Treatment of Grossly Everted Feet With Special Reference to Cerebral Palsy. Brussels, Belgium: Imprimerie Lielens; 1960.
11.
DwyerFC. The present status of the problem of pes cavus. Clin Orthop Relat Res. 1975;(106):254-275.
FeuersteinCAWeilLJrWeilLSSrKleinEEAgerakisNGAkramU. The calcaneal scarf osteotomy: surgical correction of the adult acquired flatfoot deformity and radiographic results. Foot Ankle Spec. 2013;6:367-371.
KnuppMPagenstertGValderrabanoVHintermannB. Osteotomies in varus malalignment of the ankle [in German]. Oper Orthop Traumatol. 2008;20:262-273.
16.
FriggANiggBDavisEPedersonBValderrabanoV. Does alignment in the hindfoot radiograph influence dynamic foot-floor pressures in ankle and tibiotalocalcaneal fusion?Clin Orthop Relat Res. 2010;468:3362-3370.
17.
CoughlinMJKazA. Correlation of Harris mats, physical exam, pictures, and radiographic measurements in adult flatfoot deformity. Foot Ankle Int. 2009;30:604-612.
18.
ElveruRARothsteinJMLambRL. Goniometric reliability in a clinical setting. Subtalar and ankle joint measurements. Phys Ther. 1988;68:672-677.
19.
SaltzmanCLNawoczenskiDATalbotKD. Measurement of the medial longitudinal arch. Arch Phys Med Rehabil. 1995;76:45-49.
20.
BackerMKofoedH. Passive ankle mobility. Clinical measurement compared with radiography. J Bone Joint Surg Br. 1989;71:696-698.
21.
SaltzmanCLel-KhouryGY. The hindfoot alignment view. Foot Ankle Int. 1995;16:572-576.
22.
Van BergeykABYoungerACarsonB. CT analysis of hindfoot alignment in chronic lateral ankle instability. Foot Ankle Int. 2002;23:37-42.
23.
KleinPMattysSRoozeM. Moment arm length variations of selected muscles acting on talocrural and subtalar joints during movement: an in vitro study. J Biomech. 1996;29:21-30.
24.
ArangioGASalatheEP. A biomechanical analysis of posterior tibial tendon dysfunction, medial displacement calcaneal osteotomy and flexor digitorum longus transfer in adult acquired flat foot. Clin Biomech (Bristol, Avon). 2009;24:385-390.
25.
HadfieldMHSnyderJWLiacourasPCOwenJRWayneJSAdelaarRS. Effects of medializing calcaneal osteotomy on Achilles tendon lengthening and plantar foot pressures. Foot Ankle Int. 2003;24:523-529.
26.
ChanJYWilliamsBRNairP. The contribution of medializing calcaneal osteotomy on hindfoot alignment in the reconstruction of the stage II adult acquired flatfoot deformity. Foot Ankle Int. 2013;34:159-166.
27.
ThordarsonDBHedmanTLundquistDReischR. Effect of calcaneal osteotomy and plantar fasciotomy on arch configuration in a flatfoot model. Foot Ankle Int. 1998;19:374-378.
28.
HortonGAMyersonMSParksBGParkYW. Effect of calcaneal osteotomy and lateral column lengthening on the plantar fascia: a biomechanical investigation. Foot Ankle Int. 1998;19:370-373.
29.
NyskaMParksBGChuITMyersonMS. The contribution of the medial calcaneal osteotomy to the correction of flatfoot deformities. Foot Ankle Int. 2001;22:278-282.
30.
VoraAMTienTRParksBGSchonLC. Correction of moderate and severe acquired flexible flatfoot with medializing calcaneal osteotomy and flexor digitorum longus transfer. J Bone Joint Surg Am. 2006;88:1726-1734.
31.
SchmidTZurbriggenSZdericIGueorguievBWeberMKrauseFG. Ankle joint pressure changes in a pes cavovarus model: supramalleolar valgus osteotomy versus lateralizing calcaneal osteotomy. Foot Ankle Int. 2013;34:1190-1197.
32.
ResnickRBJahssMHChouekaJKummerFHerschJCOkerekeE. Deltoid ligament forces after tibialis posterior tendon rupture: effects of triple arthrodesis and calcaneal displacement osteotomies. Foot Ankle Int. 1995;16:14-20.
33.
OtisJCDelandJTKenneallyS. Medial arch strain after lateral column lengthening: an in vitro study. Foot Ankle Int. 1999;20:797-802.
34.
MichelsonJDMizelMJayPSchmidtG. Effect of medial displacement calcaneal osteotomy on ankle kinematics in a cadaver model. Foot Ankle Int. 1998;19:132-136.
35.
DavittJSBealsTCBachusKN. The effects of medial and lateral displacement calcaneal osteotomies on ankle and subtalar joint pressure distribution. Foot Ankle Int. 2001;22:885-889.
36.
KrauseFGSutterDWaehnertDWindolfMSchwiegerKWeberM. Ankle joint pressure changes in a pes cavovarus model after lateralizing calcaneal osteotomies. Foot Ankle Int. 2010;31:741-746.
37.
SungIHLeeSOtisJCDelandJT. Posterior tibial tendon force requirement in early heel rise after calcaneal osteotomies. Foot Ankle Int. 2002;23:842-849.
38.
MyersonMSBadekasASchonLC. Treatment of stage II posterior tibial tendon deficiency with flexor digitorum longus tendon transfer and calcaneal osteotomy. Foot Ankle Int. 2004;25:445-450.
39.
GreeneDLThompsonMCGesinkDSGravesSC. Anatomic study of the medial neurovascular structures in relation to calcaneal osteotomy. Foot Ankle Int. 2001;22:569-571.
40.
KrauseFGPohlMJPennerMJYoungerAS. Tibial nerve palsy associated with lateralizing calcaneal osteotomy: case reviews and technical tip. Foot Ankle Int. 2009;30:258-261.
41.
KrausJCFischerMTMcCormickJJKleinSEJohnsonJE. Geometry of the lateral sliding, closing wedge calcaneal osteotomy: review of the two methods and technical tip to minimize shortening. Foot Ankle Int. 2014;35:238-242.
42.
KrackowKAHalesDJonesL. Preoperative planning and surgical technique for performing a Dwyer calcaneal osteotomy. J Pediatr Orthop. 1985;5:214-218.
43.
LammBMGesheffMGSaltonHLDupuisTWZeniF. Preoperative planning and intraoperative technique for accurate realignment of the Dwyer calcaneal osteotomy. J Foot Ankle Surg. 2012;51:743-748.
44.
AbbasianAZaidiRGuhaAGoldbergACullenNSinghD. Comparison of three different fixation methods of calcaneal osteotomies. Foot Ankle Int. 2013;34:420-425.
45.
KonanSMeswaniaJBlunnGWMadhavRTOddyMJ. Mechanical stability of a locked step-plate versus single compression screw fixation for medial displacement calcaneal osteotomy. Foot Ankle Int. 2012;33:669-674.
46.
GuytonGPJengCKriegerLEMannRA. Flexor digitorum longus transfer and medial displacement calcaneal osteotomy for posterior tibial tendon dysfunction: a middle-term clinical follow-up. Foot Ankle Int. 2001;22:627-632.
47.
WackerJTHennessyMSSaxbyTS. Calcaneal osteotomy and transfer of the tendon of flexor digitorum longus for stage-II dysfunction of tibialis posterior. Three- to five-year results. J Bone Joint Surg Br. 2002;84:54-58.
48.
FayaziAHNguyenHVJulianoPJ. Intermediate term follow-up of calcaneal osteotomy and flexor digitorum longus transfer for treatment of posterior tibial tendon dysfunction. Foot Ankle Int. 2002;23:1107-1111.
49.
NikiHHiranoTOkadaHBeppuM. Outcome of medial displacement calcaneal osteotomy for correction of adult-acquired flatfoot. Foot Ankle Int. 2012;33:940-946.
50.
BoltPMCoySToolanBC. A comparison of lateral column lengthening and medial translational osteotomy of the calcaneus for the reconstruction of adult acquired flatfoot. Foot Ankle Int. 2007;28:1115-1123.
51.
PagenstertGKnuppMValderrabanoVHintermannB. Realignment surgery for valgus ankle osteoarthritis. Oper Orthop Traumatol. 2009;21:77-87.
52.
PagenstertGIHintermannBBargALeumannAValderrabanoV. Realignment surgery as alternative treatment of varus and valgus ankle osteoarthritis. Clin. Orthop. Relat. Res.Sep2007;462:156-168.
53.
KumarPNLaingPWKlenermanL. Medial calcaneal osteotomy for relapsed equinovarus deformity. Long-term study of the results of Frederick Dwyer. J. Bone Joint Surg. Br. Nov1993;75(6):967-971.
54.
SammarcoGJTaylorR. Combined calcaneal and metatarsal osteotomies for the treatment of cavus foot. Foot Ankle Clin. Sep2001;6(3):533-543, vii.
55.
IrwinTAAndersonRBDavisWHCohenBE. Effect of ankle arthritis on clinical outcome of lateral ankle ligament reconstruction in cavovarus feet. Foot Ankle Int. Nov2010;31(11):941-948.
