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Key Pearls Of Calcaneal Osteotomies

By Kieran T. Mahan, DPM | 60,079 reads | 0 comments | 05/03/2003

Calcaneal osteotomies have been a mainstay of foot and ankle surgery for many years, and are critical in the realignment of significant foot deformities. Both varus and valgus deformities often require calcaneal deformities for correct alignment. Although a large number of calcaneal osteotomies have been described in the literature over the years, there are a few principal ones that tend to be more commonly used than others. One would perform the Dwyer osteotomy for frontal plane deformity of varus in the cavus foot.

Plantar Calcaneal Spurs: Is Surgery Necessary?

By Don Green, DPM and Peter S. Kim, DPM | 160,324 reads | 0 comments | 05/03/2006

The etiology of heel pain is quite varied. First described by Wood in 1812, the most common cause is thought to be plantar fasciitis. This is typically marked by focal tenderness to any component of the aponeurosis but most frequently at the proximal medial insertion of the plantar aponeurosis.1 Many symptomatic patients with plantar fasciitis demonstrate plantar heel spurs (traction enthesopathies) of the os calcis.

Managing Stress Fractures In Athletes

Brian W. Fullem, DPM, FACFAS, FAAPSM | 67,993 reads | 0 comments | 12/21/2011

When getting athletes back on their feet following a stress fracture, one must balance the need to return to sport with the need for safe healing. Combining a thorough review of the literature with practical pearls from his clinical experience, this author offers salient diagnostic insights and perspectives on non-weightbearing, bone stimulation and other treatment measures.

Essential Insights On The Evans Calcaneal Osteotomy

Kieran T. Mahan, DPM, and Rachel Tuer, DPM | 68,589 reads | 0 comments | 06/01/2009

The Evans calcaneal osteotomy has become a primary surgical treatment for both adults and children with pes plano valgus as it offers fewer complication rates in comparison to other procedures. These authors provide step-by-step surgical pearls as well as a guide to managing patients postoperatively.

   The flexible pes plano valgus deformity is a difficult problem to evaluate, classify and treat. There are a number of different approaches to the surgical evaluation of the pes valgus foot. One of the most straightforward approaches is to view the foot as two columns.

Keys To Diagnosing And Treating Calcaneal Apophysitis

Russell G. Volpe, DPM | 59,329 reads | 0 comments | 10/26/2009

Given that calcaneal apophysitis is a common cause of heel pain in children, this author reviews the literature and offers insights on the etiology of the condition, the diagnostic workup and pertinent treatment pearls.

How To Perform The Double Calcaneal Osteotomy

By Alan R. Catanzariti, DPM, Robert W. Mendicino, DPM, and Brian D. Neerings, DPM | 31,460 reads | 0 comments | 12/03/2004

   The double calcaneal osteotomy includes a combination of the posterior calcaneal displacement osteotomy (PCDO) and the Evans anterior opening wedge calcaneal osteotomy. One would consider this combination for symptomatic flexible flatfoot deformity in both the adolescent flexible flatfoot and the adult with late stage II (Johnson and Strom’s classification) posterior tibial tendon dysfunction (PTTD).    The PCDO consists of a transcortical osteotomy through the posterior tuber of the calcaneus with medial transposition of the tuberosity.

A Closer Look At The Percutaneous Calcaneal Displacement Osteotomy

By Lawrence DiDomenico, DPM | 27,178 reads | 0 comments | 05/03/2006

Podiatric surgeons commonly perform an extraarticular calcaneal osteotomy on hindfoot deformities of the foot and ankle.1 One would typically perform this powerful osteotomy in conjunction with other procedures.

Understanding The Biomechanical Effects Of The Evans Calcaneal Osteotomy

Ron Raducanu, DPM, FACFAS | 15,756 reads | 0 comments | 01/25/2012

Reviewing the evolution of the Evans calcaneal osteotomy, this author discusses the impact on biomechanics, shares insights from the literature on osteotomy placement and bone graft size, and offers pearls on minimizing the risk of common complications.

New Bone Growth Stimulator Offers Treatment For Nonunion Fractures

By Aaron Becker, Special Projects Editor | 19,781 reads | 0 comments | 03/03/2007

      Facilitating the healing of nonunion fractures can be challenging. In order to address this challenge, a number of practitioners have been turning to the DonJoy OL1000 Bone Growth Stimulator as it reportedly provides an easy to use, noninvasive treatment option.       The bone growth stimulator is a lightweight, battery-powered device that can accommodate a large variety of fracture sites, according to DJO Inc., the manufacturer of the device.

Secrets To Treating Ankle Fractures In Athletes

By Damieon Brown, DPM, Lawrence DiDomenico, DPM, FACFAS, and Michael VanPelt, DPM | 76,478 reads | 0 comments | 01/03/2007

      More and more people are in the pursuit of becoming active and staying fit. More often than not, individuals tend to achieve this goal by participating in sporting activities. Whether they are participating in intramural or competitive activities, these athletes place a great demand on the ankles and feet.       According to the National Collegiate Athletic Association Injury Surveillance System for 2000-2001, the ankle, knee and lower extremity were common sites of injury.