Complications After Minimally Invasive vs Open Calcaneal Osteotomy: A Retrospective Study.
Minor wound complications were less frequent after minimally invasive calcaneal osteotomy, but not significantly.
Complications After Minimally Invasive vs Open Calcaneal Osteotomy: A Retrospective Study.
A calcaneal osteotomy is a common component of surgical management for various foot and ankle deformities.
The purpose of this study was to compare complication rates including infection, wound dehiscence, nerve damage, hardware failure, reoperation, and nonunion between these cohorts.
All patients who underwent an open or minimally invasive surgical calcaneal osteotomy between March 2021 and July 2024 at a single institution were identified and retrospectively reviewed.
minor wound problems were less common with minimally invasive osteotomy
Forty-four patients who underwent open calcaneal osteotomy and 26 patients who underwent minimally invasive surgical calcaneal osteotomy met the inclusion criteria for the current study.
Patients were followed for a mean 25.3 ± 11.1 months.
There was no significant difference in the rate of nonunion ( P = .703) or nerve complications ( P = .410) between cohorts.
Data from the current study indicate that open and minimally invasive surgical calcaneal osteotomy are associated with no difference in major complication rates or amount of calcaneal correction.
With the numbers available, no significant difference in total or minor complication rates could be detected after false discovery rate adjustment, though fewer minor wound complications were observed in the minimally invasive surgical cohort (3.8% vs 20.5%).