Titrating the Amount of Bony Correction in Progressive Collapsing Foot Deformity

Scott J. Ellis, Jeffrey E. Johnson, Jonathan Day, Cesar de Cesar Netto, Jonathan T. Deland, Beat Hintermann, Mark S. Myerson, Lew C. Schon, David B. Thordarson, Bruce J. Sangeorzan

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish
Pages (from-to)1292-1295
Number of pages4
JournalFoot and Ankle International
Volume41
Issue number10
DOIs
StatePublished - Oct 1 2020

Keywords

  • AAFD
  • PCFD
  • adult acquired flatfoot deformity
  • flatfoot
  • osteotomy
  • progressive collapsing foot deformity
  • reconstruction
  • titration

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