FDL Transfer and Calcaneal Osteotomy
What is FDL Transfer and Calcaneal Osteotomy?
FDL transfer and calcaneal osteotomy are surgical procedures often performed together to correct certain foot conditions. FDL refers to the Flexor Digitorum Longus tendon, which is a tendon in the foot that helps curl the toes. Calcaneal osteotomy involves cutting and repositioning the heel bone (calcaneus) to improve foot alignment. These procedures are commonly performed to address conditions such as flatfoot deformity or posterior tibial tendon dysfunction.
Why are FDL Transfer and Calcaneal Osteotomy Performed?
FDL transfer and calcaneal osteotomy are typically recommended for patients with conditions that cause significant foot and ankle pain, instability, or deformity. Some common indications for these procedures include:
Flatfoot Deformity: This condition involves the collapse of the arch of the foot, leading to pain and difficulty with walking or standing.
Posterior Tibial Tendon Dysfunction (PTTD): PTTD is a condition where the posterior tibial tendon, which supports the arch of the foot, becomes damaged or inflamed, resulting in arch collapse and foot misalignment.
How are FDL Transfer and Calcaneal Osteotomy Performed?
FDL transfer and calcaneal osteotomy are typically performed under general anesthesia or regional anesthesia. The specific surgical technique may vary based on the individual's condition and the surgeon's preference. However, the general steps involved in these procedures are as follows:
FDL Transfer: The surgeon will make an incision near the inside of the ankle and identify the FDL tendon. The tendon is then transferred to a different location in the foot to help support the arch and improve foot alignment. The transferred tendon is secured with sutures.
Calcaneal Osteotomy: In this step, the surgeon will make an incision on the side of the foot near the heel. The calcaneus bone is carefully cut and repositioned to improve foot alignment and correct any deformity. Special screws or plates may be used to hold the bone in its new position.
Closure: Once the necessary adjustments have been made, the incisions are closed using sutures or surgical staples, and a sterile dressing is applied.
What can I expect after FDL Transfer and Calcaneal Osteotomy?
After the surgery, you will likely be required to wear a cast or a special boot to protect the foot and promote proper healing. Your surgeon will provide specific guidelines regarding weight-bearing restrictions and post-operative care.
Rehabilitation and physical therapy are usually recommended to aid in the recovery process and help restore strength and function to the foot. It may take several months for complete healing and return to normal activities, depending on the extent of the procedure and individual healing factors.
The postoperative rehabilitation protocol can be found here.
Follow-up appointments will be scheduled to monitor your progress, remove sutures/staples if necessary, and make any necessary adjustments to your treatment plan.
Remember to adhere to your surgeon's instructions, attend follow-up appointments, and promptly report any concerns, such as excessive pain, swelling, or signs of infection, to your healthcare provider.
In conclusion, FDL transfer and calcaneal osteotomy are surgical procedures performed to address certain foot conditions, including flatfoot deformity and posterior tibial tendon dysfunction. These procedures aim to improve foot alignment, relieve pain, and restore function. Your surgeon will guide you through the recovery process, including rehabilitation, to ensure the best possible outcome.