Osteotomy of the calcaneus

Calcaneal osteotomy is a surgical procedure aimed at changing the position of the heel bone in order to correct foot deformities and restore normal function. The operation is commonly used for flatfoot, hindfoot valgus deformity, post-traumatic conditions, and other pathologies that cause pain and impaired walking biomechanics.

Indications for calcaneal osteotomy

• Flatfoot (longitudinal or transverse) leading to abnormal load distribution on the foot.
• Valgus deformity of the heel — lateral displacement of the calcaneus.
• Clubfoot — congenital or acquired.
• Post-traumatic deformities of the calcaneus following fractures.
• Chronic foot pain unresponsive to conservative treatment.
• Complex deformities that impair gait and increase the risk of progressive joint disorders.

Goals of the procedure

• Correction of calcaneal alignment.
• Restoration of anatomically correct foot shape.
• Relief of pain.
• Improvement of biomechanics and redistribution of load across the foot.

How the surgery is performed

1. Diagnostics. Before surgery, the patient undergoes imaging studies, including X-ray, CT, or MRI of the foot to assess the severity of deformity and plan the procedure.
2. Anesthesia. The operation is performed under general anesthesia or spinal anesthesia.
3. Surgical procedure. The surgeon makes an incision in the heel area, performs a controlled bone cut (osteotomy), and repositions the calcaneus into the desired alignment. Fixation is achieved using screws, plates, or other metal implants to maintain stability until bone healing occurs.
4. Completion of surgery. The incision is sutured, and the foot is immobilized with a cast or orthosis to restrict movement.

Rehabilitation after calcaneal osteotomy

1. Immobilization. Weight-bearing on the operated foot is restricted for 6–8 weeks.
2. Use of crutches. Ambulation is performed with crutches or a walker.
3. Therapeutic exercises. Gradual physical therapy to restore mobility and strengthen foot muscles.
4. Physiotherapy. Laser therapy, magnetic therapy, and electrical stimulation to reduce swelling and accelerate tissue healing.
5. Regular follow-up. Recovery is monitored using X-ray or CT imaging.

Advantages of calcaneal osteotomy in Belarus

• Elimination of chronic pain and discomfort.
• Restoration of proper load distribution across the foot.
• Improved quality of life and return to active physical activity.

Calcaneal osteotomy in Belarus is an effective surgical treatment that helps restore the anatomical structure of the foot, relieve pain, and return patients to a full and active life.

The procedure is performed in leading clinics in Belarus, where modern technologies and surgical techniques ensure high precision and successful outcomes.