Procedure · Midfoot & Hindfoot

Dwyer Calcaneal Osteotomy (Cavus Correction)

A lateralizing calcaneal osteotomy realigns the heel to correct cavus foot deformity, often combined with tendon transfers and forefoot procedures.

Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon

Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors

Indications
  • Symptomatic cavus foot
  • Recurrent ankle sprains from cavus mechanics
How the procedure is performed

Lateral incision over the heel; a wedge of bone is removed and the heel shifted laterally, fixed with screws.

Outpatient regional or general anesthesia.
Recovery timeline
  • Non-weightbearing 6 weeks
  • Boot weeks 6–10
  • Return to activity 4–6 months
Potential risks
  • Sural nerve injury
  • Nonunion
  • Wound healing

Frequently asked questions

Will my arch look normal?

Cavus correction softens the high arch and balances weight distribution.

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