Abstract
Although it is a relatively simple procedure for an experienced foot and ankle surgeon,
Evans calcaneal opening wedge osteotomy requires 2 separate steps: 1) distraction
of the osteotomy, and 2) insertion of a bone graft, and each of these maneuvers can
be difficult without the use of appropriate instrumentation. In this report, a simplified
method of executing this procedure with an anterior lumbar distractor-inserter is
introduced. With the use of this particular instrument, a surgeon can avoid excessive
distraction of the osteotomy while positioning a large bone graft in the distracted
osteotomy without fracturing the anterior calcaneal fragment. The device also allows
the surgeon to fine tune the correction of deformity by controlling the depth of bone
graft insertion. The instrument provides all of these benefits without a high learning
curve or additional cost to the procedure.
Keywords
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References
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- A biomechanical analysis of posterior tibial tendon dysfunction, medial displacement calcaneal osteotomy and flexor digitorum longus transfer in adult acquired flat foot.Clin Biomech. 2009; 24: 385-390
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Article info
Publication history
Published online: May 21, 2010
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
