Foot and ankle osteotomies are surgical procedures that involve cutting and reshaping the bones in the foot and the ankle regions. These procedures are performed to treat various conditions, correct deformities, improve joint alignment, and even alleviate pain. Osteotomies can be used to reposition bones, change joint angles, and restore proper mechanics of the foot and ankle.
Here are some common reasons osteotomies are performed:
- Bunion Correction (Hallux Valgus Osteotomy): An Osteotomy for a bunion involves cutting & repositioning the bones of the big toe and sometimes the first metatarsal bone to realign the joint, reduce the bunion, and improve the toe’s position.
- Mallet Toe Correction (Phalangeal Osteotomy): Mallet toe is when the end joints of a toe bend downward. An osteotomy may be performed to help correct the deformity by removing a portion of the bone to straighten out the toe.
- Hammer Toe Correction (Metatarsal Osteotomy): Hammer toe is where the toe bends upward at the middle joint. An osteotomy may involve repositioning the metatarsal bone to improve the alignment of the toe.
- Hindfoot Osteotomies: Osteotomies in the hindfoot region are performed to correct deformities, such as flatfoot (pes planus) or high arch (pes cavus), to improve stability and alignment.
- Calcaneal Osteotomy: This involves cutting & reshaping the heel bone (calcaneus) to correct issues such as heel valgus (outward tilt) or varus (inward tilt), which can affect gait and cause pain.
- Ankle Osteotomies: Osteotomies of the ankle joint can be performed to treat conditions such as ankle arthritis. Ankle osteotomies may involve realigning the bones to reduce pain and improve overall joint function.
- Metatarsal Osteotomies: Osteotomies of the metatarsal bones are used to treat conditions like metatarsalgia or to correct metatarsal length discrepancies.
- Reconstructive Foot & Ankle Surgery: Osteotomies are often part of more complicated reconstructive procedures that address severe deformities, joint misalignments, and other structural issues.
The decision to undergo this type of procedure is based on factors such as the individual’s symptoms, the type and severity of the condition, and the potential benefits of the surgery. Osteotomies are typically considered when conservative treatments have not provided satisfactory relief.
It’s important for patients to consult with one of our orthopedic or foot/ankle surgeons, to discuss their condition, explore treatment options, and determine whether a foot and ankle osteotomy is an appropriate course of action.
