Avoiding Subluxation of the Calcaneocuboid Joint During Calcaneal Lengthening Osteotomy Surgical/Technical Tips

Abstract

The calcaneal lengthening osteotomy (CLO) is a frequently utilized procedure for the surgical correction of pes planovalgus in the pediatric population. Subluxation of the calcaneocuboid (CC) joint is a well-described and common complication of this operation. In this case report, we propose that intraoperative technique plays a key role in the development of this complication. We recommend pinning the joint with the foot in its natural “deformed” planovalgus position and provide a technical tip to maintain anatomic alignment of the joint.