We performed combination calcaneal-cuboid-cuneiform osteotomies in 18 patients (26 feet) with severe valgus foot deformity. The operation consists of a sliding calcaneal osteotomy, an opening-wedge cuboid osteotomy, and a pronation, plantar flexion closing-wedge osteotomy of the medial cuneiform in addition to appropriate soft-tissue releases. The preoperative goals of restoring the axis of the foot parallel to the axis of progression and relieving pain, as well as shoe, brace, and skin problems, were met in 23 of the 24 feet available for review at an average of 18 months after surgery. This procedure has the advantage of localized correction of deformity without the problems associated with arthrodesis.
Study conducted at Children's Hospital San Diego, San Diego, California, U.S.A.
From the Department of Orthopedics, Texas Scottish Rite Hospital, Dallas, Texas; and *Children's Hospital, Department of Orthopedics, San Diego, California, U.S.A.
Address correspondence and reprint requests to Dr. S. J. Mubarak, Department of Orthopedics, Children's Hospital, 3030 Children's Way, Suite 410, San Diego, CA 92123, U.S.A.