The Cole Osteotomy: Maximizing Sagittal Plane Cavus Correction
Purpose: Pes cavus can be a debilitating and painful condition requiring surgical intervention. There are many contributing factors to take into account when addressing the deformity. This study documents 21 cases of cavus foot reconstruction using the Cole osteotomy as the primary procedure for fee...
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Elsevier
2024-01-01
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| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396724000612 |
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| author | Kelly McKeon, DPM, AACFAS Brent Blanck-Singer, DPM, AACFAS Craig Camasta, DPM, FACFAS |
| author_facet | Kelly McKeon, DPM, AACFAS Brent Blanck-Singer, DPM, AACFAS Craig Camasta, DPM, FACFAS |
| author_sort | Kelly McKeon, DPM, AACFAS |
| collection | DOAJ |
| description | Purpose: Pes cavus can be a debilitating and painful condition requiring surgical intervention. There are many contributing factors to take into account when addressing the deformity. This study documents 21 cases of cavus foot reconstruction using the Cole osteotomy as the primary procedure for feet with an apex of deformity in the midfoot, demonstrating its powerful corrective capabilities. Case study: 16 Patients (21 Feet) (13 female, 3 male) (Ages 16–55, average age 36.8 years) underwent Cole osteotomy for midfoot driven pes cavus. Secondary procedures include: Hammertoe Arthrodesis (7/21), 1st Metatarsal DFWO (6/21), Plantar Fasciotomy (5/21), Tarsal Tunnel Release (3/21), Posterior Calcaneal Spur Resection (3/21), Ankle Ligament Repair (1/21). All patients had preand post-operative measurements of calcaneal inclination and Meary's angle. Results: Mean pre-op calcaneal inclination angle 17°, mean post-op calcaneal inclination angle 7.75°, for an average of 9.25° of correction. Mean pre-op Meary's angle 23.25°, mean post-op Meary's angle 5.5°, for an average of 17.75° of correction. Analysis and discussion: The Cole midfoot osteotomy is an underutilized procedure, and when done correctly can vastly improve deformity and function. All patients in the series had significant pain relief, and all patients with bilateral deformities returned for the contralateral foot. The procedure demonstrates substantial sagittal plane correction that is difficult to obtain by other means. The full write up includes critical detailed steps articulating vital insights to the success of the procedure. |
| format | Article |
| id | doaj-art-89eeefaf55e54a9689615a88acb09140 |
| institution | Kabale University |
| issn | 2667-3967 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj-art-89eeefaf55e54a9689615a88acb091402024-12-14T06:33:56ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672024-01-0144100421The Cole Osteotomy: Maximizing Sagittal Plane Cavus CorrectionKelly McKeon, DPM, AACFAS0Brent Blanck-Singer, DPM, AACFAS1Craig Camasta, DPM, FACFAS2Podiatry Institute, Fellowship Director of the Pediatric and Adult Foot and Ankle Surgical Fellowship, 5445 Meridian Mark Road Suite 390, Atlanta, GA 30342, United StatesPodiatry Institute, Fellowship Director of the Pediatric and Adult Foot and Ankle Surgical Fellowship, 5445 Meridian Mark Road Suite 390, Atlanta, GA 30342, United StatesCorresponding author.; Podiatry Institute, Fellowship Director of the Pediatric and Adult Foot and Ankle Surgical Fellowship, 5445 Meridian Mark Road Suite 390, Atlanta, GA 30342, United StatesPurpose: Pes cavus can be a debilitating and painful condition requiring surgical intervention. There are many contributing factors to take into account when addressing the deformity. This study documents 21 cases of cavus foot reconstruction using the Cole osteotomy as the primary procedure for feet with an apex of deformity in the midfoot, demonstrating its powerful corrective capabilities. Case study: 16 Patients (21 Feet) (13 female, 3 male) (Ages 16–55, average age 36.8 years) underwent Cole osteotomy for midfoot driven pes cavus. Secondary procedures include: Hammertoe Arthrodesis (7/21), 1st Metatarsal DFWO (6/21), Plantar Fasciotomy (5/21), Tarsal Tunnel Release (3/21), Posterior Calcaneal Spur Resection (3/21), Ankle Ligament Repair (1/21). All patients had preand post-operative measurements of calcaneal inclination and Meary's angle. Results: Mean pre-op calcaneal inclination angle 17°, mean post-op calcaneal inclination angle 7.75°, for an average of 9.25° of correction. Mean pre-op Meary's angle 23.25°, mean post-op Meary's angle 5.5°, for an average of 17.75° of correction. Analysis and discussion: The Cole midfoot osteotomy is an underutilized procedure, and when done correctly can vastly improve deformity and function. All patients in the series had significant pain relief, and all patients with bilateral deformities returned for the contralateral foot. The procedure demonstrates substantial sagittal plane correction that is difficult to obtain by other means. The full write up includes critical detailed steps articulating vital insights to the success of the procedure.http://www.sciencedirect.com/science/article/pii/S2667396724000612Pes cavusCole osteotmyCavus reconstructionMidfoot defomirty |
| spellingShingle | Kelly McKeon, DPM, AACFAS Brent Blanck-Singer, DPM, AACFAS Craig Camasta, DPM, FACFAS The Cole Osteotomy: Maximizing Sagittal Plane Cavus Correction Foot & Ankle Surgery: Techniques, Reports & Cases Pes cavus Cole osteotmy Cavus reconstruction Midfoot defomirty |
| title | The Cole Osteotomy: Maximizing Sagittal Plane Cavus Correction |
| title_full | The Cole Osteotomy: Maximizing Sagittal Plane Cavus Correction |
| title_fullStr | The Cole Osteotomy: Maximizing Sagittal Plane Cavus Correction |
| title_full_unstemmed | The Cole Osteotomy: Maximizing Sagittal Plane Cavus Correction |
| title_short | The Cole Osteotomy: Maximizing Sagittal Plane Cavus Correction |
| title_sort | cole osteotomy maximizing sagittal plane cavus correction |
| topic | Pes cavus Cole osteotmy Cavus reconstruction Midfoot defomirty |
| url | http://www.sciencedirect.com/science/article/pii/S2667396724000612 |
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