Medial Soft-tissue Release for a Lateralising Calcaneal Osteotomy: a Cadaveric Study

Foot & Ankle Orthopaedics

KalpeshShah¹ 

关键词: Osteotomy;    calcaneal;    lateral;    abductor hallucis;    plantar fascia;   

DOI  :  10.1177/2473011417S000365

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:HindfootIntroduction/Purpose:Lateralising calcaneal osteotomy (LCO) for pes cavus is generally regarded to be harder to shift than a medialising calcaneal osteotomy for pes planus. Whilst this may be due to tight tissues as in pes cavus, no attempt has been made to define a particular structure that could limit the lateral shift in a LCO. Some surgeons recommend releasing the flexor retinaculum routinely with a LCO to avoid a tarsal tunnel syndrome, suggesting that perhaps it is the flexor retinaculum that is the main restrictor to the lateral shift in a LCO. The purpose of our study was to define the structures that restrain the lateral shift in a calcaneal osteotomy in a cadaveric study.Methods:Calcaneal osteotomies were carried out by a single orthopaedic surgeon on 10 embalmed, below-knee cadavers. LCOs were performed using standard lateral approach and the lateral calcaneal shift was measured before and after the release of flexor retinaculum in 4 cadavers. Further exploratory dissection aro...

【 授权许可】

CC BY