Talar and Calcaneal Y-Osteotomy with Distraction Osteogenesis for the Correction of Rigid Equinus

Types of equinus, surgical management for equinus involving the Ytalocalcaneal osteotomy supplementing an external fixation device is presented. A case report is introduced involving surgical correction of a 53 year-old male who had a severe equinus flat top talus with mild varus secondary to clubfoot surgery. Treatment included surgical correction utilizing Steindler stripping, Achilles tendon lengthening, and a rather rare Yosteotomy of the calcaneus and talus with the use of a multiplaner external fixator in an unconstrained system to correct the equinus and varus deformity. Slow distraction was performed in order to decrease the risks of having neurovascular injury, soft tissue injury, and shortening of the foot. After months of follow-up, there was good healing of the osteotomy sites and the patient had a plantigrade foot.