Titrating the Amount of Bony Correction in Progressive Collapsing Foot Deformity

Author:

Ellis Scott J.1ORCID,Johnson Jeffrey E.2ORCID,Day Jonathan1ORCID,de Cesar Netto Cesar3ORCID,Deland Jonathan T.1,Hintermann Beat4,Myerson Mark S.5,Schon Lew C.6789,Thordarson David B.10,Sangeorzan Bruce J.11

Affiliation:

1. Hospital for Special Surgery, New York, NY, USA

2. Washington University School of Medicine, St. Louis, MO, USA

3. Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA

4. Kantonspital Baselland, Liestal, Switzerland

5. Department of Orthopedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA

6. Mercy Medical Center, Baltimore, MD, USA

7. New York University Grossman School of Medicine, New York, NY, USA

8. Johns Hopkins School of Medicine, Baltimore, MD, USA

9. Georgetown School of Medicine, Washington, DC, USA

10. Cedars-Sinai Medical Center, Los Angeles, CA, USA

11. University of Washington, Seattle, WA, USA

Abstract

Recommendation: There is evidence indicating that the amount of bony correction performed in the setting of progressive collapsing foot deformity reconstructive surgery can be titrated within a recommended range for a variety of procedures. The typical range when performing a medial displacement calcaneal osteotomy should be 7 to 15 mm of medialization of the tuberosity. The typical range when performing an Evans lateral column lengthening should be 5 to 10 mm of a laterally based wedge in the anterior calcaneus. The typical range when performing a plantarflexion opening wedge osteotomy of the medial cuneiform (Cotton) osteotomy should be 5 to 10 mm of a dorsal wedge. Level of Evidence: Level V, consensus, expert opinion.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

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