Understanding Calcaneal Osteotomy Surgery: A Guide for Patients
- Coriel
- 6 days ago
- 3 min read
If you’re experiencing persistent foot pain caused by a flat or high-arched foot, calcaneal osteotomy might be a solution worth considering. This surgical procedure can significantly improve foot alignment, reduce pain, and address the underlying causes of deformity. Let’s explore the details of this surgery and its recovery process.
What is Calcaneal Osteotomy?
Calcaneal osteotomy is a procedure that involves reshaping and repositioning the calcaneus, or heel bone, to improve the alignment and function of the foot. It is often performed to correct painful flat feet or high-arched feet and can be combined with other procedures, such as Achilles tendon lengthening, for comprehensive correction.
During the surgery, the surgeon makes an incision on the outer border of the foot near the heel and performs a precise bone cut. The heel bone is then repositioned, and fixation devices such as screws or plates with screws are used to secure the bone in its new position. These devices are typically not noticeable and do not usually require removal.
The operation typically takes 30 to 60 minutes and is performed under local anaesthesia, often with sedation or general anaesthesia as an option.
Why Consider This Surgery?
Calcaneal osteotomy offers several benefits for those suffering from foot deformities:
Improves the arch profile and overall alignment of the foot.
Reduces pain caused by poor foot mechanics.
Addresses the root cause of the deformity, leading to long-term relief.
Risks and Considerations
As with any surgical procedure, calcaneal osteotomy has potential risks, including:
Recurrence or collapse of the foot.
Nerve damage, which may cause loss of sensation on the outer part of the foot.
Failure of bone healing (non-union).
Your surgical team will discuss these risks with you and take every precaution to minimize complications.
Who is a Candidate for This Procedure?
This surgery is typically recommended for individuals with:
Painful flat feet or high-arched feet that have not responded to conservative treatments.
Persistent pain or difficulty in wearing footwear despite using orthotics or other supportive devices.
Before considering surgery, your healthcare provider may suggest alternatives, such as:
Activity modifications.
Pain management with anti-inflammatory medications.
Stretching exercises or night splints.
Custom footwear or orthotic foot supports.
What to Expect During Surgery
The procedure can be performed under a local anaesthetic block, ensuring that you remain awake but pain-free. If preferred or deemed necessary by your surgeon, sedation or general anaesthesia may be used.
Calcaneal osteotomy is typically a day surgery, allowing you to go home the same day. However, you will need a responsible adult to assist you on the first night post-surgery to ensure your safety and comfort.
Recovery Timeline
Immediately After Surgery:
Pain management will be prioritized, and you’ll be provided with appropriate medications.
Your foot will be non-weight bearing, supported in a cast or air cast boot, for the first 6-8 weeks.
Rest is essential, and your mobility should be limited to essential activities like using the bathroom, with the aid of crutches.
Within Two Weeks Post-Surgery:
You’ll attend a follow-up appointment for dressing changes. Sutures may be removed if necessary.
A new cast or air cast boot may be applied, depending on your progress.
X-rays may be taken to monitor healing.
2-8 Weeks Post-Surgery:
Depending on your progress, you may begin weight-bearing activities as advised by your surgeon.
Transition to supportive footwear, like lace-up trainers, to aid mobility.
Swelling and mild discomfort are normal as activity levels increase.
Rehabilitation exercises or physiotherapy may be introduced to restore strength and flexibility.
8-12 Weeks Post-Surgery:
Swelling continues to decrease, and your foot begins to feel more normal.
Gradual return to daily activities, including some sports, may be possible.
Beyond 12 Weeks:
A final follow-up is typically scheduled at 6-8 months post-surgery to assess long-term outcomes.
Improvements in foot alignment and pain relief become more noticeable over time.
Planning for Recovery
Proper preparation is key to a smooth recovery. Ensure you have:
A support system to help with daily tasks during the non-weight-bearing phase.
Crutches or mobility aids for initial movement.
Arrangements for childcare or caregiving responsibilities if needed.
Calcaneal osteotomy is a proven solution for individuals with painful flat feet or high arches, offering improved alignment and long-term pain relief. By understanding the procedure and following recovery protocols, you can look forward to better mobility and quality of life. If you’re considering this surgery, speak with your healthcare provider to determine if it’s the right option for you.
