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The Cotton Osteotomy.

Amber M Shane¹, Christopher L Reeves², Hannah Istre¹

¹Department of Podiatric Surgery, Advent Health System, Orlando, FL, USA.

Clinics in Podiatric Medicine and Surgery

|November 20, 2025

Summary

This summary is machine-generated.

The Cotton osteotomy, a surgical procedure for forefoot issues since 1936, is reviewed here. This article covers its history, uses, techniques, and clinical considerations for optimal correction.

Keywords:

Allograft Forefoot varus Medial column Medial cuneiform opening osteotomy Plantarflexory osteotomy

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Area of Science:

Orthopedic Surgery
Foot and Ankle Surgery

Background:

The Cotton osteotomy is a well-established surgical technique.
It has been utilized for various forefoot pathologies since its inception in 1936.

Purpose of the Study:

To provide a comprehensive review of the Cotton osteotomy.
To discuss its history, indications, contraindications, grafting options, surgical technique, and clinical considerations.

Main Methods:

Literature review and synthesis of existing clinical data.
Analysis of historical and current applications of the Cotton osteotomy.

Main Results:

The Cotton osteotomy is versatile for treating diverse forefoot conditions.
Optimal correction requires careful consideration of surgical technique and clinical points.

Conclusions:

The Cotton osteotomy remains a valuable procedure for forefoot reconstruction.
Understanding its nuances is crucial for successful patient outcomes.