The use of bioceramic bone graft for lenghting the lateral column of the double calcaneal osteotomy

Abstract

Objective: To evaluate the use of bioceramic bone graft for lengthening the lateral column of the double calcaneal osteotomy, as well as the effectiveness of this technique, for the treatmentof symptomatic valgus flat foot in childhood. Methods: Our sample consisted of six patients who were submitted to double calcaneal osteotomy employing the bioceramic graft in 2 years (2010 to 2012). Patients were clinically and radiographically evaluated, preoperatively and 6 months after surgery. Data regarding the American Orthopaedic Foot and Ankle Society (AOFAS) functional scale and radiographic correction of angular measurement were compared. Results: The average of AOFAS scale of preoperative evolved from 62.3 to 98 points. The talus-first metatarsal angle had a mean of 13.1° and decreased to 2.6° pos-toperatively. Graft was integrated and there were no procedure-related complications in patients. Conclusion: The technique of double calcaneal osteotomy for the correction of flexible flat foot showed good clinical and radiographic results. Bioceramic bone graft integration was effective as a spacer and helped decreasing the morbidity of the procedure.