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Cuneiform and cuboid wedge osteotomies for correction of residual metatarsus adductus: A surgical review

  • Author Footnotes
    1 Submitted during third-year residency.
    ,
    Author Footnotes
    3 From the Department of Orthopedic Surgery, Section of Podiatry, Botsford General Hospital, Farmington Hills, Michigan.
    Dale S. Brink
    Footnotes
    1 Submitted during third-year residency.
    3 From the Department of Orthopedic Surgery, Section of Podiatry, Botsford General Hospital, Farmington Hills, Michigan.
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  • Author Footnotes
    2 Chairman of Podiatric Surgery; Diplomate, American Board of Podiatric Surgery, American Board of Podiatric Orthopedics and Primary Podiatric Medicine.
    ,
    Author Footnotes
    3 From the Department of Orthopedic Surgery, Section of Podiatry, Botsford General Hospital, Farmington Hills, Michigan.
    David R. Levitsky
    Correspondence
    Address correspondence to: 31596 Schoolcraft Road, Livonia, MI 48150.
    Footnotes
    2 Chairman of Podiatric Surgery; Diplomate, American Board of Podiatric Surgery, American Board of Podiatric Orthopedics and Primary Podiatric Medicine.
    3 From the Department of Orthopedic Surgery, Section of Podiatry, Botsford General Hospital, Farmington Hills, Michigan.
    Search for articles by this author
  • Author Footnotes
    3 From the Department of Orthopedic Surgery, Section of Podiatry, Botsford General Hospital, Farmington Hills, Michigan.
    1 Submitted during third-year residency.
    2 Chairman of Podiatric Surgery; Diplomate, American Board of Podiatric Surgery, American Board of Podiatric Orthopedics and Primary Podiatric Medicine.
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      Metatarsus adductus is a deformity in which the metatarsals are deviated in the transverse plane when compared with the longitudinal axis of the lesser tarsus. A brief review of the deformity is presented including the causes, radiographic analysis, conservative treatment, and a surgical approach. A series of cases of metatarsus adductus is presented in which a proximal surgical approach consisted of cuneiform and cuboid wedge osteotomies with staple fixation. The described procedure has advantages over the traditional metatarsal wedge osteotomies by providing large cancellous bone-to-bone interfaces for excellent healing potential, easier fixation, sagittal plane stability, and avoidance of the physis at the base of the first metatarsal.
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