Minimally invasive flat foot Alingment short term results
Rodrigo Schroll Astolfi, Sarah Araújo Lima, Henrique Cesar Temoteo Ribeiro, Alexandre Leme Godoy Santos, José Alberto Dias Leite
Introduction: Medializing calcaneal osteotomy is one of the most common procedures in flat foot alignment. Recently it has been done percutaneously with several different techniques, most of them made in lateral position. Our paper aims to describe the minimally invasive calcaneal medializing osteotomy in ventral position and our initial results.
Methods: Between July 2019 and February 2020, 10 patients were operated using this technique. Patients in ventral position, sciatic nerve block, percutaneous Achilles lengthening, transcutaneous k-wire passage for drill cut control. Straight calcaneal cut, reduction in medial and plantar position and control both in lateral and axil views.
Results: Median age was 38, 92, median follow up time was 6, 95 months. Post operatory AOFAS score was 68, 09. 67% of patients felt better after surgery.
Discussion: This is a descriptive paper with technical tips for percutaneous flat foot correction in ventral position. Using these methods, the surgery becomes faster as patient position is the same for nerve block and for surgery, easier for distal calcaneal fragment in plantar and medial fashion, safer for drill use with the k-wire protection and easier for trans-operatively x-ray control. Immediate weight bearing didn’t influence in bone healing, which occurred in 6 weeks.
Rodrigo Schroll Astolfi, Sarah Araújo Lima, Henrique Cesar Temoteo Ribeiro, Alexandre Leme Godoy Santos, José Alberto Dias Leite. Minimally invasive flat foot Alingment short term results. International Journal of Orthopaedics Research, Volume 2, Issue 4, 2020, Pages 17-21