Corrective Midfoot Osteotomies

Corrective midfoot osteotomies involve complete separation of the forefoot and hindfoot through the level of the midfoot, followed by uni-, bi-, or triplanar realignment and arthrodesis. This technique can be performed through various approaches; however, in the high-risk patient, percutaneous and minimum incision techniques are necessary to limit the potential of developing soft tissue injury. These master level techniques require extensive surgical experience and detailed knowledge of lower extremity biomechanics. The authors discuss preoperative clinical and radiographic evaluation, specific operative techniques used, and postoperative management for the high-risk patient undergoing corrective midfoot osteotomy.