title: The Cole midfoot osteotomy: a retrospective review of 11 procedures in 8 patients.
abstract: This article presents the results of a retrospective chart and radiographic review of 11 feet (8 patients) that underwent a Cole midfoot osteotomy from February 1998 through October 2000 at the Western Pennsylvania Hospital. The average time to follow-up was 23 months (range, 11 to 29.5 months). A 100% bony union rate was achieved, with an average time to radiographic union of 2.3 months (range, 1.2 to 4.5 months). The average time until full weightbearing was 3.3 months (range, 2 to 4.25 months). The average preoperative talo-first metatarsal angle on an anteroposterior radiograph was 8.60 degrees and 8.64 degrees on the lateral radiograph. The average postoperative change was 3.50 degrees (P =.03) on the anteroposterior radiograph and 16.82 degrees (P =.003) on the lateral radiograph. At the final follow-up visit, all patients were independently active and were able to wear conventional shoe gear. A postoperative questionnaire was completed by 5 of 8 patients (8 of 11 feet) at a mean 21 months (range, 13 to 29.5 months) postoperatively. Of these patients, 4 of 5 patients (7 of 8 feet) would recommend this surgery to others. No major complications were reported in this study. These results suggest that the Cole midfoot osteotomy is a reasonable procedure to consider for correcting pes cavus deformities with the apex in the midfoot.
authors.affiliation: Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh, PA 15224, USA.
authors.forename: Brandon L
authors.initials: BL
authors.lastname: Tullis
authors.forename: Robert W
authors.initials: RW
authors.lastname: Mendicino
authors.forename: Alan R
authors.initials: AR
authors.lastname: Catanzariti
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Henne
mesh_terms: D005530:Foot Deformities / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D012189:Retrospective Studies; D013639:Tarsal Bones / Q000601:surgery*; D013640:Tarsal Joints / Q000601:surgery*; D016896:Treatment Outcome