title: [Osteotomy of the medial cuneiform in the treatment of the adducted forefoot].
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.
authors.affiliation: Kliniki Ortopedii Dziechiecej Instytutu Ortopedii i Rehabilitacji AM im. K. Marcinkowskiego, Poznaniu.
authors.forename: M
authors.initials: M
authors.lastname: Napiontek
authors.forename: T
authors.initials: T
authors.lastname: Kotwicki
mesh_terms: D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery; D005260:Female; D005532:Foot Deformities, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010027:Osteotomy / Q000379:methods*; D013639:Tarsal Bones / Q000601:surgery*
vernacular_title: Osteotomia kości klinowatej przyśrodkowej w leczeniu przywiedzenia przodostopia.