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Anterior tarsal resection (Cole osteotomy)
L O Leal1, S D Bosta, D P Feller
1Department of Surgery, Podiatry Hospital of Pittsburgh, Pennsylvania.
The Journal of Foot Surgery
|May 1, 1988
Summary
Anterior tarsal resection is a surgical technique for correcting rigid pes cavus (high-arched foot). This procedure, along with soft tissue techniques, addresses global cavus deformity originating at the navicular cuneiform joint.
Area of Science:
- Orthopedic surgery
- Foot and ankle anatomy
- Skeletal biomechanics
Background:
- Pes cavus, characterized by a high arch, has been extensively studied regarding its causes and treatments.
- Anterior tarsal resection is a surgical approach with a history of over 50 years in medical literature.
- Rigid global cavus deformity, particularly with its apex at the navicular cuneiform joint, presents a complex clinical challenge.
Purpose of the Study:
- To present the rationale for utilizing anterior tarsal resection.
- To describe adjunct soft tissue procedures for pes cavus correction.
- To address the surgical management of rigid anterior global cavus deformities.
Main Methods:
- Review of historical and current literature on anterior tarsal resection.
- Description of surgical techniques for anterior tarsal resection.
- Explanation of complementary soft tissue procedures.
Main Results:
- Anterior tarsal resection provides a viable surgical option for specific types of pes cavus.
- Adjunct soft tissue procedures enhance the correction of global cavus deformities.
- The navicular cuneiform joint is a critical landmark for apex correction.
Conclusions:
- Anterior tarsal resection, when combined with soft tissue procedures, offers a solution for rigid anterior global cavus.
- The described approach provides a comprehensive strategy for correcting complex high-arched foot deformities.
- This technique aims to restore foot function and alleviate symptoms associated with pes cavus.