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Second metatarsophalangeal joint pathology and freiberg disease.

Clinics in podiatric medicine and surgery·2013
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Cole Osteotomy and Variations.

Garrett Wobst1

  • 1Avera Orthopedics, 701 8th Avenue NW Suite A, Aberdeen, SD 57401, USA; Department of Podiatry, Idaho College of Osteopathic Medicine, Meridian, ID, USA.

Clinics in Podiatric Medicine and Surgery
|November 20, 2025
PubMed
Summary
This summary is machine-generated.

Surgical reconstruction, including midfoot osteotomies like the Cole osteotomy, is often necessary for severe pes cavus deformities. Understanding foot architecture is key to successful surgical treatment for pain relief.

Keywords:
Anterior cavusCole osteotomyJapas osteotomyMidfoot cavusMidfoot osteotomyPes cavus

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Podiatric Surgery

Background:

  • Pes cavus is a complex foot deformity often resistant to conservative management.
  • Surgical intervention is frequently required to achieve a pain-free, plantigrade foot.
  • Detailed understanding of pes cavus foot anatomy is crucial for surgical planning.

Purpose of the Study:

  • To highlight the importance of surgical reconstruction for recalcitrant pes cavus.
  • To emphasize the role of midfoot osteotomies, specifically the Cole osteotomy, in correcting pes cavus.
  • To underscore the necessity of anatomical knowledge for surgical success.

Main Methods:

  • Review of surgical techniques for pes cavus correction.
  • Focus on midfoot osteotomies, including the Cole osteotomy.
  • Discussion of the integration of these techniques in surgical armamentarium.

Main Results:

  • Midfoot osteotomies, such as the Cole osteotomy, are effective in reducing midfoot-apex deformities.
  • These osteotomies are rarely performed as standalone procedures.
  • The Cole osteotomy is a valuable component of surgical reconstruction for pes cavus.

Conclusions:

  • Surgical reconstruction is often essential for symptomatic pes cavus.
  • Midfoot osteotomies, particularly the Cole osteotomy, are vital tools for correcting pes cavus deformities.
  • A thorough understanding of foot architecture guides the selection of appropriate surgical interventions.