TY - JOUR
T1 - Consensus on Indications for Medial Cuneiform Opening Wedge (Cotton) Osteotomy in the Treatment of Progressive Collapsing Foot Deformity
AU - Johnson, Jeffrey E.
AU - Sangeorzan, Bruce J.
AU - de Cesar Netto, Cesar
AU - Deland, Jonathan T.
AU - Ellis, Scott J.
AU - Hintermann, Beat
AU - Schon, Lew C.
AU - Thordarson, David B.
AU - Myerson, Mark S.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Recommendation: Forefoot varus is a physical and radiographic examination finding associated with the Progressive Collapsing Foot Deformity (PCFD). Varus position of the forefoot relative to the hindfoot is caused by medial midfoot collapse with apex plantar angulation of the medial column. Some surgeons use the term forefoot supination to describe this same deformity (see Introduction section with nomenclature). Correction of this deformity is important to restore the weightbearing tripod of the foot and help resist a recurrence of foot collapse. When the forefoot varus deformity is isolated to the medial metatarsal and medial cuneiform, correction is indicated with an opening wedge medial cuneiform (Cotton) osteotomy, typically with interposition of an allograft bone wedge from 5 to 11 mm in width at the base. When the forefoot varus is global, involving varus angulation of the entire forefoot and midfoot relative to the hindfoot, other procedures are needed to adequately correct the deformity. Level of Evidence: Level V, consensus, expert opinion.
AB - Recommendation: Forefoot varus is a physical and radiographic examination finding associated with the Progressive Collapsing Foot Deformity (PCFD). Varus position of the forefoot relative to the hindfoot is caused by medial midfoot collapse with apex plantar angulation of the medial column. Some surgeons use the term forefoot supination to describe this same deformity (see Introduction section with nomenclature). Correction of this deformity is important to restore the weightbearing tripod of the foot and help resist a recurrence of foot collapse. When the forefoot varus deformity is isolated to the medial metatarsal and medial cuneiform, correction is indicated with an opening wedge medial cuneiform (Cotton) osteotomy, typically with interposition of an allograft bone wedge from 5 to 11 mm in width at the base. When the forefoot varus is global, involving varus angulation of the entire forefoot and midfoot relative to the hindfoot, other procedures are needed to adequately correct the deformity. Level of Evidence: Level V, consensus, expert opinion.
KW - Cotton osteotomy
KW - PCFD
KW - cuneiform osteotomy
KW - flatfoot
KW - forefoot varus
KW - progressive collapsing foot deformity
UR - http://www.scopus.com/inward/record.url?scp=85089977765&partnerID=8YFLogxK
U2 - 10.1177/1071100720950739
DO - 10.1177/1071100720950739
M3 - Review article
C2 - 32856482
AN - SCOPUS:85089977765
VL - 41
SP - 1289
EP - 1291
JO - Foot and Ankle International
JF - Foot and Ankle International
SN - 1071-1007
IS - 10
ER -