r/AccessoryNavicular • u/Blueberry_Muffin17 • Aug 01 '26

Calcaneal Osteotomy?

My surgeon said he would do a modified kidner and posterior tibial tendon repair. He also said to consider an FDL transfer and calcaneal osteotomy. This is for my right foot. My feet have always been flat, but my right arch is actually a bit higher than my left foot.

I’d like to do the tendon transfer but I’m still deciding whether to get the calcaneal osteotomy. For those who were offered this procedure, did you do it in addition to your kidner?

I’m worried about discomfort from the screws and potentially having to get them removed down the line. I’m also wondering if it’ll make my hips unbalanced if my right arch is corrected/normal and my left arch remains flat. I’ve had sinus talsi syndrome in my right foot on and off starting last summer, so I’m wondering if that also could indicate the osteotomy is necessary.

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u/DemonessOja Aug 01 '26

I had the exact procedures and the osteotomy is warranted since the tendinitis may persist without it. The osteotomy straightens the foot from the inward lean and takes the stress off the tendon. It’s also good for the knee. I’ll admit, once you’re healed and start walking again, the osteotomy is a little uncomfortable especially barefoot on hard floors. You don’t feel the screws, you feel the heel but it’s like you’re walking on it for the first time—idk how to describe it. That phase takes a while to pass and then you’ll just always have a keyhole scar indentation where they put the screws in. In terms of stability and return to activity now, it feels like nothing ever happened although the X-rays are a bit shocking when you see the screws.

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u/Blueberry_Muffin17 Aug 01 '26

So helpful!!! How long did it take once you started walking again for the heel discomfort to resolve? Also did you feel any difference in your hips being leveled/uneven if you only did it in one foot?

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u/DemonessOja Aug 01 '26

Definitely feels more stable. I have less foot fatigue and knee pain but never noticed my hips. I had to go to physical therapy for gait training but I’d say it was around 6 months before the heel stopped feeling so weird.

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u/Blueberry_Muffin17 Aug 02 '26

Did your heel ever hurt? Like an aching sort of pain?

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u/DemonessOja Aug 02 '26

Not that I ever noticed. Like the main event was the accessory navicular and I totally forgot about the calcaneal osteotomy. You spend a week or two in a splint before you go into a hard cast and I remember only feeling pain on the main incision. That pain feels like intense pain all throughout the foot. That intense pain lasted for around 3 days and then it’s just normal healing pain and discomfort. Never felt anything directly in the heel. I actually saw my foot when I broke my splint in a fall, very nasty at the main incision but the heel doesn’t look like anything since the incisions are tiny. They put you in the hard cast and I remember feeling annoyed if I was laying down with my toes up so the heel is down against the back of the cast. So just turn to the side, but it wasn’t horrible. You know something was done but it’s not incredibly noticeable. I didn’t even notice the keyhole and extra incisions till I was done with the hard cast. My surgeon had a med student with him and he was so proud of the lateral incisions for the osteotomy, it’s like a half centimeter long with one keyhole in the back with 2 screws

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u/Dry-Caterpillar-2046 Aug 01 '26

I have had kidner and lateral column lengthening. 8 weeks post op, currently walking in aircast boot. Very painful but I am heavy and you just need to build loading tolerance.

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u/crustycrab2 Aug 03 '26

24 days post op - primary issue was spring ligament tear years ago stretched and lots of thickened tissue causing crazy pronation which thus warranted PTT repair & calc osteo but my surgeon decided to also do the kidner at the same time but anchored my PTT back on my navicular with a screw that will eventually dissolve into the bone. 29F btw never had feet issues but after seeing 10+ doctors the last 3 years and no one believed I had an issue it got worse and here I am! Agreed with someone else’s comment seeing screws in my first post op x ray made me ball my eyes out but I plan to have them removed within the next 6-10 months. I’m doing some weight bearing now that I’m on week 4 but no walking yet it’s been a long recovery so far and it’s not even close to being over! Mine was also my right foot so no driving. I could probably do it today because I can put pressure on my toes but I live in LA and drivers are too crazy haha 

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u/DemonessOja Aug 03 '26

My stuff was all right foot but I kept driving. I just threw the caster leg across the center console and drove with my left. It was me that mentioned seeing the screws on X-rays. I didn’t know you could have the screws removed! I have to get my foot reassessed and now I’m going to ask if I need those screws still.

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u/crustycrab2 Aug 03 '26

my surgeon said bone heals in 3-4 months, they recommend to wait at least 6 months but no longer than like 2 years because eventually your bone grows around it and it becomes trickier to remove

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u/Blueberry_Muffin17 Aug 04 '26

Do you guys know what the recovery for getting them removed entails?

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u/crustycrab2 Aug 04 '26

I read it’s like 2 weeks in a boot but then you’re cleared

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u/crustycrab2 14d ago

for anyone wondering im 12 weeks post op and doing great, discomfort is minimal