Metatarsus varus corrected by open wedge osteotomy of the first cuneiform bone. 1976

C R Lincoln, and K E Wood, and E I Bugg

The persistence of metatarsus adductus varus has been a problem in management. We have treated a series of selected patients with this problem and believe that our results have been better than with the procedure we have used in the past. Fowler has described a procedure which seems ideal for the patients in our series. Through personal communication the procedure and its application were discussed and the series was started eight years ago. Our series is small because our patients are responding to other forms of treatment at an earlier age. The few that do not respond are now considered for the operation described. The procedure is relatively simple to perform. Full correction should be obtained at the time of surgery. Casting is utilized to hold the correction and immobilize the extremity for healing. Our unsatisfactory results occurred because of errors in technique or poor selection of patients. We believe that this procedure should be considered in the older patient with metatarsus varus.

UI MeSH Term Description Entries
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005532 Foot Deformities, Congenital Alterations or deviations from normal shape or size which result in a disfigurement of the foot occurring at or before birth. Congenital Foot Deformities,Congenital Foot Deformity,Deformities, Congenital Foot,Deformity, Congenital Foot,Foot Deformity, Congenital
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D013639 Tarsal Bones The seven bones which form the tarsus - namely, CALCANEUS; TALUS; cuboid, navicular, and the internal, middle, and external cuneiforms. Ankle Bones,Cuboid Bone,Cuneiform Bones,Navicular Bone of Foot,Tarsus Osseus,Os Naviculare,Bone, Cuboid,Bone, Cuneiform,Bone, Tarsal,Bones, Ankle,Bones, Cuboid,Bones, Cuneiform,Bones, Tarsal,Cuboid Bones,Cuneiform Bone,Foot Navicular Bone,Foot Navicular Bones,Naviculare, Os,Naviculares, Os,Os Naviculares,Tarsal Bone

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