Name: Minimally Invasive Calcaneus Surgery
Uploaded: 2019-10-18T00:00:00Z
Channel: Arthrex
Description: A minimally invasive calcaneal osteotomy using the Arthrex MIS platform may reduce the chances for sural nerve injury and the potential for postoperative wound complications.

<p>A minimally invasive calcaneal osteotomy using the Arthrex MIS platform may reduce the chances for sural nerve injury and the potential for postoperative wound complications.</p>

Not Hidden

English  - en

video

AN1-000056-en-US | B | Minimally Invasive Calcaneus Surgery

Human

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

Operationstechnik-Animationen

Surgical Technique Animations

Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

Animações de técnicas cirúrgicas

Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

Animaciones de técnicas quirúrgicas

Minimally Invasive Calcaneus Surgery

Arthrex presents a medicalizing calcaneal osteotomy through a minimally invasive approach. Start by marking out a superior to inferior osteotomy line within the safe zone defined by Toulousain, which projects 11mm anteriorly from the posterior superior and posterior inferior tuberosity of the calcaneus. The trajectory of the osteotomy and screws are also marked on skin perpendicular to the osteotomy line. A five millimeters incision is made with a beaver blade at the mid tuberosity, parallel to the trajectory of the osteotomy. Next, a specialized periosteal elevator is used to elevate the periosteum above and below the calcaneus along the trajectory of the osteotomy. When approaching the calcaneal osteotomy, it is important to separate the calcaneus into four cutting quadrants, as depicted working systematically to cut the superior lateral quadrant, the superior medial quadrant, the inferior lateral quadrant, and finally the inferior medial quadrant. Introduce the miss burr midline and Midline and perpendicular to the lateral cortex of the calcaneus, and advance the burr until it penetrates the medial cortex. Retract the burr back approximately 50% to the width of the calcaneus, using the lateral cortex as a fulcrum. Rotate the burr to transect the superior lateral quadrant of the calcaneus. Next, advance the burr through the medial cortex of the calcaneus, once again using the lateral cortex of the calcaneus as a fulcrum. Rotate the burr to transect the superior medial quadrant of the calcaneus. Proceed as above with the inferior, lateral, and inferior medial quadrants of the calcaneus. Adherence to the sequence is critical to avoid entrapment or potential breakage of the burr, as well as thermal injury to the skin. Upon completion of the osteotomy, insert the Sayer elevator to shift the posterior tuberosity medially to attain the desired correction. Proceed with fixation of the osteotomy by inserting two parallel K-wires for the cannulated 7.0mm compression Feet. Screws. Incisions are made with the beaver blade and both screw lengths are measured. Ensure that the depth gauge is down to bone and not measuring from the dense, soft tissue on the posterior heel. Next, drill the 5.0mm cannulated. Drill over the superior K-wires to prepare for screw insertion and insert the appropriate length 7.0mm Cannulated compression screw. This process is repeated for the inferior K-wires, and the procedure is complete upon confirmation of the proper screw trajectory via an axial view.

Minimally Invasive Calcaneus Surgery

Related Pages

Foot and Ankle

Calcaneal Osteotomy for Flatfoot

Procedure

Foot and Ankle

Minimally Invasive Surgery

Procedure