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Plantarflexion Opening Wedge Cuneiform-1 Osteotomy for Correction of Fixed Forefoot Varus

Plantarflexion opening wedge first cuneiform osteotomy is a useful procedure for correction of forefoot varus associated with many types of foot deformities. The osteotomy is most often combined with other operative procedures and used as an adjunct to the treatment of congenital or acquired flatfoot deformities that exhibit fixed forefoot varus as one of the components of the deformity. The osteotomy has a high union rate, minimal morbidity, and is performed with either allograft or autograft as an interposition bone graft material. Although the procedure was initially described over 70 years ago, there have been few reports on the results of this procedure. Recently, there has been a renewed interest in this technique and further studies to evaluate the role it will play in foot deformity correction are currently in progress.