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Related Experiment Videos

First cuneiform osteotomy alters hindfoot architecture.

Elke Viehweger1, Michel Jacquemier, Franck Launay

  • 1Pediatric Orthopaedic Department, Timone Children's University Hospital, Marseille, France. elke.viehweger@mail.ap-hm.fr

Clinical Orthopaedics and Related Research
|December 7, 2005
PubMed
Summary

First cuneiform osteotomy, used for forefoot correction, can alter hindfoot alignment in pediatric foot deformities. This retrospective study found significant changes in hindfoot bone angles following the procedure.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Foot and ankle anatomy

Background:

  • Congenital midfoot deformities often involve complex three-dimensional malalignments.
  • The first cuneiform osteotomy is a common procedure for correcting forefoot deformities.
  • Its potential impact on hindfoot alignment is not well-established.

Purpose of the Study:

  • To investigate the effect of first cuneiform osteotomy on hindfoot alignment in pediatric patients with metatarsus adductus and varus.
  • To evaluate radiographic changes in hindfoot bone angles after first cuneiform osteotomy.

Main Methods:

  • Retrospective case series of 18 patients (31 feet) undergoing biplane first cuneiform osteotomy between 1994 and 2001.
  • Patients had metatarsus adductus and varus, with or without hindfoot valgus.

Related Experiment Videos

  • Weightbearing radiographs were analyzed preoperatively and postoperatively at a mean 5-year follow-up.

    • Main Results:

    • First cuneiform osteotomy was associated with significant architectural changes in hindfoot bone angles.
    • Specific changes were observed in both isolated osteotomy and combined osteotomy with subtalar arthrodesis groups.
    • Radiographic measurements demonstrated alterations in hindfoot alignment post-surgery.

    Conclusions:

    • First cuneiform osteotomy can influence hindfoot alignment in pediatric foot deformities.
    • These findings suggest that surgeons should consider the potential hindfoot effects when planning this procedure.
    • This may lead to the development of new surgical strategies for complex foot deformities.