TECHNIQUETwo-Incision Lateral Approach for Dwyer Calcaneal Osteotomy With Concomitant Lateral Reconstructive ProcedureHammit, Matt MD1; Anderson, Robert B MD2; Cohen, Bruce E MD2; Davis, W Hodges MD2Author Information 1Texas Orthopaedic and Sports Medicine, Houston, TX; 2Miller Orthopaedic Clinic, Charlotte, NC Address correspondence and reprint requests to Matt Hammit, MD, Texas Orthopaedic and Sports Medicine, 17202 Red Oak, Suite 307, Houston TX 77090. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: September 2005 - Volume 4 - Issue 3 - p 180-183 doi: 10.1097/01.btf.0000163589.60087.8b Buy Metrics Abstract Traditionally, a large extensile lateral approach is necessary when a Dwyer calcaneal osteotomy is performed in conjunction with another lateral reconstructive procedure such as lateral ankle ligament reconstruction or peroneal tendon reconstruction. This large extensile lateral incision is often a compromise because it is not in an ideal location for the Dwyer calcaneal osteotomy or the lateral reconstructive procedure. Consequently, there is an increased need for soft tissue stripping and skin retraction, which could potentially lead to wound healing complications including wound breakdown. This article examines the possibility of performing 2 lateral incisions, each ideal for their respective procedures, but with a small intervening skin bridge that violates the traditional concept of maintaining at least a 7.0-cm skin bridge between incisions around the ankle and foot. © 2005 Lippincott Williams & Wilkins, Inc.