Advertisement

Cotton Osteotomy

  • Jeffrey S. Weber
Chapter

Abstract

The Cotton osteotomy is a medial cuneiform dorsal opening wedge osteotomy which is utilized in the treatment of the collapsing pes planovalgus foot type, metatarsus primus elevatus deformity, the overcorrected clubfoot, and forefoot varus deformity. It is most commonly performed as an adjunct to hindfoot reconstruction when the medial column requires additional plantarflexion in order to obtain a plantigrade foot. The procedure is relatively simple to perform with limited complications. Anatomic landmarks are carefully identified grossly and fluoroscopically to ensure proper placement of the sagittal saw prior to making the osteotomy. Graft material consists of either autograft, allograft, or metallic, wedge-shaped implants that are coupled with internal fixation to provide additional stability to the graft and osteotomy site. Whether used as an isolated procedure or in conjunction with other hindfoot procedures, the Cotton osteotomy is a powerful corrective procedure to address sagittal plane deformity of the midfoot.

Keywords

Allogenic bone graft Forefoot varus Medial cuneiform Pes planovalgus Cotton 

References

  1. 1.
    Bluman EM, Myerson MS. Posterior tibial tendon rupture: a refined classification system. Foot Ankle Clin. 2007;12(2):233–49.CrossRefGoogle Scholar
  2. 2.
    Myerson MS, et al. Tendon transfer combined with calcaneal osteotomy for treatment of posterior tibial tendon insufficiency: a radiological investigation. Foot Ankle Int. 1995;16(11):712–8.CrossRefGoogle Scholar
  3. 3.
    Yarmel D, Mote G, Treaster A. The cotton osteotomy: a technical guide. J Foot Ankle Surg. 2009;48(4):506–12.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jeffrey S. Weber
    • 1
  1. 1.Birch Tree Foot and Ankle SpecialistsTraverse CityUSA

Personalised recommendations