Unit of Foot and Ankle

Specialists in the study, diagnosis, and application of surgical techniques for foot surgery.

JOINT-PRESERVING SURGERY

Joint-preserving surgery encompasses all surgical techniques that do not replace or fuse the joint to address the patient’s condition. The most common joint-preserving surgery is realignment osteotomy of the foot and ankle.

At icatpie, one of our goals is to preserve the joint whenever the patient’s condition allows us to do so.

In the image, we see a surgical photograph of a first metatarsal osteotomy performed to correct hallux valgus (bunion).

The osteotomy involves cutting the bone for subsequent displacement to correct the deviation.

What does realignment osteotomy of the foot and ankle consist of?

An osteotomy consists of modifying the anatomical shape of the bone. With this procedure, we can change the bone’s angulation to adjust its axis and avoid overloading, or we can increase or decrease the bone’s length.

We commonly use this technique for various conditions, such as flatfoot, high-arched foot, and forefoot conditions like hallux valgus (bunions) and metatarsalgia.

Patient with hallux valgus (bunion). Through a metatarsal and phalangeal osteotomy, the deviation was corrected.

In the metatarsal, the placement of a screw was necessary, whereas in the phalanx, it was not required.

When is it indicated?

An osteotomy is indicated for patients with a deformity that is impairing the joint, as long as the joint largely retains its cartilage.

Conventional radiography of a patient who underwent a calcaneal osteotomy.

The calcaneal osteotomy aims to reposition the heel, thereby improving the way the foot bears weight while walking. This surgery was possible because the patient did not have arthritis in the joint formed by the calcaneus and the talus (subtalar joint).

If you have advanced arthritis, an osteotomy will not be a suitable treatment. Our team will recommend the best option for your case, which, depending on the affected joint, could be either joint fusion or joint replacement.