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Calcaneal Osteotomy to Correct Residual Deformity

Grimes, Jerry Speight MD

Techniques in Foot & Ankle Surgery: March 2009 - Volume 8 - Issue 1 - pp 7-9
doi: 10.1097/BTF.0b013e318199bc14
Special Focus: Calcaneal Osteotomies

Fractures of the calcaneus often produce a varus deformity of the tuberosity. This varus alignment, in conjunction with the alterations of the morphology of the calcaneal body and subtalar joint, produces excessive strain on the peroneal tendons and abnormal stresses through the ankle and hindfoot. For patients who have previously undergone subtalar arthrodesis after a calcaneal fracture, residual varus of the calcaneal tuberosity can also lead to dysfunction. Closing wedge osteotomy of the calcaneus can correct the varus deformity and may be performed either alone or with a primary subtalar arthrodesis.

From the Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, TX.

Address correspondence and reprint requests to Jerry Speight Grimes, MD, Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, 3601 4th St, Stop 9436, Lubbock, TX 79430. E-mail: speight@grimesmd.com.

© 2009 Lippincott Williams & Wilkins, Inc.