Abstract
Plantar fascia release and calcaneal slide osteotomy are often components of the surgical
management for cavovarus deformities of the foot. In this setting, plantar fascia
release has traditionally been performed through an incision over the medial calcaneal
tuberosity, and the calcaneal osteotomy through a lateral incision. Two separate incisions
can potentially increase the operative time and morbidity. The purpose of the present
study was threefold: to describe the operative technique, use cadaveric dissection
to analyze whether a full release of the plantar fascia was possible through the lateral
incision, and examine the proximity of the medial neurovascular structures to both
the plantar fascia release and calcaneal slide osteotomy when performed together.
In our cadaveric dissections, we found that full release of the plantar fascia is
possible through the lateral incision with no obvious damage to the medial neurovascular
structures. We also found that the calcaneal branch of the tibial nerve reliably crossed
the osteotomy in all specimens. We have concluded that both the plantar fascia release
and the calcaneal osteotomy can be safely performed through a lateral incision, if
care is taken when completing the calcaneal osteotomy to ensure that the medial neurovascular
structures remain uninjured.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: April 04, 2018
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
