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  • Title: [Osteotomy of the medial cuneiform in the treatment of the adducted forefoot].
    Author: Napiontek M, Kotwicki T.
    Journal: Chir Narzadow Ruchu Ortop Pol; 1994; 59(6):529-35. PubMed ID: 7736824.
    Abstract:
    A series of 20 feet in 17 children (12 females, 5 males) treated surgically with medial cuneiform osteotomy and bony bloc insertion to correct forefoot adduction has been assessed. Primary diagnosis were: congenital clubfoot (17 feet), skewfoot (2 feet) and congenital fibular aplasia (1 foot). The average age at the operation was 4.5 years (range from 23 months to 8 years 2 months). Five children (7 feet) were operated before 4 years of age. Medial cuneiform osteotomy has been combined with complete subtalar release from Cincinnati approach, wedge resection of the cuboid and Dwyer procedure. The follow-up was 18 months on an average (6-30 months). Correction of the deformity has been assessed clinically and radiologically (angles: tarsal-metatarsal I, tarsal-metatarsal V and first ray angle ray angle according to Barriolhet. In all cases accurate position of the forefoot has been achieved.
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