{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:17:13Z","timestamp":1783430233633,"version":"3.54.6"},"reference-count":16,"publisher":"MDPI AG","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPMA"],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:p>Posterior calcaneal displacement and anterior calcaneal distraction osteotomies have been recommended for surgical management of flexible flatfoot deformity. We combined these procedures for surgical management of adolescent flatfoot and late stage II posterior tibial tendon dysfunction in the adult. Lateral column distraction has been shown to reduce rearfoot valgus and forefoot abduction by stabilizing the midtarsal joint. Posterior calcaneal displacement osteotomy, which results in medial translation of the tuberosity, converts the posterior muscle group from an everter to an inverter. A supinatory moment, therefore, is created about the subtalar joint axis, which results in supination during the midstance phase of gait. These procedures may be considered when calcaneal valgus, forefoot abduction, and midtarsal joint instability are clinically significant. We also include rearfoot alignment radiographs, long leg calcaneal axial radiographs, and malleolar valgus indices to further evaluate alignment of the foot, ankle, and leg. Ideal realignment is achieved when the heel is vertical in resting calcaneal stance position, the forefoot is parallel to the rearfoot in the frontal plane, and the medial column is stabilized, with elimination of forefoot abduction. (J Am Podiatr Med Assoc 95(1): 53\u201359, 2005)<\/jats:p>","DOI":"10.7547\/0950053","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T10:26:11Z","timestamp":1396347971000},"page":"53-59","source":"Crossref","is-referenced-by-count":19,"title":["Double Calcaneal Osteotomy"],"prefix":"10.3390","volume":"95","author":[{"given":"Alan R.","family":"Catanzariti","sequence":"first","affiliation":[{"name":"Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W.","family":"Mendicino","sequence":"additional","affiliation":[{"name":"Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenda L.","family":"King","sequence":"additional","affiliation":[{"name":"Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Neerings","sequence":"additional","affiliation":[{"name":"Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"R1","series-title":"J Foot Ankle Surg","first-page":"254","volume":"34","year":"1995","unstructured":"Frankel J, Turf R, Kuzmicki L: Double calcaneal osteotomy in the treatment of posterior tibial tendon dysfunction. .J Foot Ankle Surg34::254. ,1995. .7550188"},{"key":"R2","series-title":"Foot Ankle Int","first-page":"206","volume":"18","year":"1997","unstructured":"Pomeroy G, Manoli A: A new operative approach for flatfoot secondary to posterior tibial tendon insufficiency: a preliminary report. .Foot Ankle Int18::206. ,1997. .9127109"},{"key":"R3","series-title":"Foot Ankle Int","first-page":"283","volume":"22","year":"2001","unstructured":"Moseir-Laclair S, Pomeroy 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Hillstrom HJ, Secord D, et al: Foot type biomechanics: comparison of planus and rectus foot types. .JAPMA86::16. ,1996. ."},{"key":"R12","year":"1994","unstructured":"Hall R: \u201cInjuries of the Posterior Tibial Tendon,\u201d in Current Practice in Foot and Ankle Surgery, Vol 2, ed by GB Pfeffer, CC Frey, p 293, McGraw-Hill, New York. ,1994. ."},{"key":"R13","series-title":"J Bone Joint Surg Br","first-page":"270","volume":"57","year":"1975","unstructured":"Evans D: Calcaneovalgus deformity. .J Bone Joint Surg Br57::270. ,1975. .1171869"},{"key":"R14","year":"1999","unstructured":"Catanzariti A: \u201cMedial Displacement Osteotomy of the Posterior Calcaneus for Flatfoot Deformity,\u201d in Pediatric Foot and Ankle Deformity, ed by R Jay, p 114, WB Saunders, Philadelphia. ,1999. ."},{"key":"R15","series-title":"Foot Ankle Int","first-page":"842","volume":"23","year":"2002","unstructured":"Sung IH, Lee S, Otis JC, et al: Posterior tibial tendon force requirement in early heel rise 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