A Comparison of Lateral Column Lengthening and Medial Translational Osteotomy of the Calcaneus for the Reconstruction of Adult Acquired Flatfoot

Abstract

The lateral column lengthening group achieved greater realignment initially and maintained correction better over time than the calcaneal osteotomy group while having a lower reoperation rate despite a higher incidence of nonunion and radiographic progression of adjacent joint arthritis.

Optimal Position of the Heel Following Reconstruction of the Stage II Adult-Acquired Flatfoot Deformity

“…A commonly cited amount of intraoperative medial displacement is 10 mm, and one biomechanical study has supported this amount of heel translation. 1,2,9,11,14,19,20,22,26 However, because patients present preoperatively with different severities of hindfoot deformity, postoperative hindfoot alignments can vary significantly with the same amount of heel slide. In addition, difficulties in assessing hindfoot alignment in the operating room may cause the amount of heel slide performed to vary among surgeons.…”

Comparison of Lateral Opening Wedge Calcaneal Osteotomy and Medial Calcaneal Sliding-opening Wedge Cuboid-closing Wedge Cuneiform Osteotomy for Correction of Planovalgus Foot Deformity in Children

“…The mechanism of correction in LCL is not well understood, but it is believed that strengthening of the windlass mechanism by tightening the plantar fascia has an effect on restoring the arch height (3) or that rotation and translation of the navicular and cuboid by calcaneal lengthening increases the arch height (9,15). Bolt et al (9) reported that the LCL procedure is more extensive and durable than the medial translational osteotomy in conjunction with plantar arthrodesis of the first tarsometatarsal joint in adult flexible flatfoot.…”

“…Bolt et al (9) reported that the LCL procedure is more extensive and durable than the medial translational osteotomy in conjunction with plantar arthrodesis of the first tarsometatarsal joint in adult flexible flatfoot. Other investigators (3,10,17) have suggested that the LCL procedure is suitable for the treatment of flexible, mild and moderate planovalgus foot deformity.…”

Lateral Column Lengthening Using a "Z" Osteotomy of the Calcaneus

“…14 A recent study also showed that the long-term radiographic correction is better with LCL than with MDCO. 15 To incorporate the advantages of both procedures, the MDCO and LCL techniques have also been combined with good result reported. 16 Medial displacement calcaneal osteotomy has been a routine component of our treatment protocol with an LCL added when additional correction is needed.…”