{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:08Z","timestamp":1783509248606,"version":"3.55.0"},"reference-count":12,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5]]},"abstract":"\n Background:<\/jats:title>\n Cole osteotomy is performed in patients having a cavus deformity with the apex of the deformity in the midfoot. Correction of the deformity at this midfoot level improves foot and ankle stability by creating a plantigrade foot. We retrospectively reviewed the clinical and radiographic results of six feet (five patients) that underwent Cole midfoot osteotomy (2011\u20132015).<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The patients had different etiologies (spastic cerebral palsy, burn sequelae, spina bifida, and Charcot-Marie-Tooth disease). Dorsal and slightly laterally based transverse wedge osteotomy through the navicular bone medially and the cuboid bone laterally was performed. Patients were under routine clinical follow-up. We evaluated clinical and radiographic results.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Mean clinical follow-up was 15.7 months (range, 6\u201336 months). The mean preoperative and postoperative talo\u2013first metatarsal angles on lateral radiographs were 29.9\u00b0 and 8.7\u00b0, respectively (\n P<\/jats:italic>\n < .05) and on anteroposterior radiographs were 30.3\u00b0 and 8.6\u00b0 (\n P<\/jats:italic>\n < .05). The mean preoperative talocalcaneal angle on anteroposterior radiographs increased from 19.2\u00b0 to 29.8\u00b0 postoperatively (\n P<\/jats:italic>\n < .05). The mean postoperative calcaneal pitch angle change was 10.8\u00b0 on the lateral radiograph (\n P<\/jats:italic>\n < .05). At final follow-up, all five patients were independently active, had plantigrade feet, and were able to wear conventional shoes. The mean American Orthopaedic Foot and Ankle Society questionnaire score was 38.8 preoperatively and 79.5 postoperatively (\n P<\/jats:italic>\n < .05). Only one patient did not have full bony union. Achilles tightness was seen in one patient.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Cole midfoot osteotomy is a laboring procedure to correct adult pes cavus deformity with the apex in midfoot, although having some complication risks.<\/jats:p>\n <\/jats:sec>","DOI":"10.7547\/17-056","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T12:09:53Z","timestamp":1562155793000},"page":"180-186","source":"Crossref","is-referenced-by-count":14,"title":["The Cole Midfoot Osteotomy: Clinical and Radiographic Retrospective Review of Five Patients (Six Feet) with Different Etiologies"],"prefix":"10.3390","volume":"109","author":[{"given":"Selim","family":"Ergun","sequence":"first","affiliation":[{"name":"Acibadem Mehmet Ali Aydinlar Universitesi, Ortopedi ve Travmatoloji Ana Bilim Dali, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yakup","family":"Yildirim","sequence":"additional","affiliation":[{"name":"Ozel Kurtkoy Ersoy Hastanesi, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-109-3-180-b01","series-title":"J Bone Joint Surg Am","first-page":"895","article-title":"The treatment of clawfoot","volume":"22","author":"Cole \n W:","year":"1940","unstructured":"Cole \n W: \n \n \n The treatment of clawfoot. J Bone Joint Surg Am22: 895, 1940."},{"key":"i8750-7315-109-3-180-b02","series-title":"Arch Surg","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1001\/archsurg.1935.01180080003001","article-title":"Etiology and treatment of clawfoot","volume":"30","author":"Saunders \n JT:","year":"1935","unstructured":"Saunders \n JT: \n \n \n Etiology and treatment of clawfoot. Arch Surg30: 2, 1935.10.1001\/archsurg.1935.01180080003001"},{"key":"i8750-7315-109-3-180-b03","series-title":"Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1046\/j.1460-9584.2000.00217.x","article-title":"Pes cavus: a review","volume":"6","author":"Solis \n G,","year":"2001","unstructured":"Solis \n G, \n \n \n Hennessy \n MS, \n \n \n Saxby \n TS: \n \n \n Pes cavus: a review. Foot Ankle Surg6: 145, 2001.10.1046\/j.1460-9584.2000.00217.x"},{"key":"i8750-7315-109-3-180-b04","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"713","DOI":"10.2106\/00004623-198062050-00004","article-title":"Tarsometatarsal truncated-wedge arthrodesis for pes cavus and equinovarus deformity of the fore part of the foot","volume":"62","author":"Jahss \n MH:","year":"1980","unstructured":"Jahss \n MH: \n \n \n Tarsometatarsal truncated-wedge arthrodesis for pes cavus and equinovarus deformity of the fore part of the foot. J Bone Joint Surg Am62: 713, 1980.10.2106\/00004623-198062050-000047391094"},{"key":"i8750-7315-109-3-180-b05","series-title":"Surgery of the Foot and Ankle, 7th Ed, Vol 1","first-page":"768","author":"Mann \n RA:","year":"1999","unstructured":"Mann \n RA: \n \n \n \u201cPes Cavus,\u201d in\n Surgery of the Foot and Ankle, 7th Ed, Vol 1, edited byRMann, MCoughlin, p768, Mosby, St Louis, 1999."},{"key":"i8750-7315-109-3-180-b06","series-title":"Clin Orthop","first-page":"217","article-title":"Metatarsal osteotomy for the cavus foot","volume":"252","author":"Watanabe \n RS:","year":"1990","unstructured":"Watanabe \n RS: \n \n \n Metatarsal osteotomy for the cavus foot. Clin Orthop252: 217, 1990."},{"key":"i8750-7315-109-3-180-b07","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1053\/j.jfas.2004.03.009","article-title":"The Cole midfoot osteotomy: a retrospective review of 11 procedures in 8 patients","volume":"43","author":"Tullis \n BL,","year":"2004","unstructured":"Tullis \n BL, \n \n \n Mendicino \n RW, \n \n \n Catanzariti \n AR, \n \n et al: \n The Cole midfoot osteotomy: a retrospective review of 11 procedures in 8 patients. J Foot Ankle Surg43: 160, 2004.10.1053\/j.jfas.2004.03.00915181432"},{"key":"i8750-7315-109-3-180-b08","series-title":"Acta Orthop Scand","doi-asserted-by":"publisher","first-page":"137","DOI":"10.3109\/17453675308991206","article-title":"Operative treatment of pes cavus","volume":"23","author":"Alvik \n I:","year":"1953","unstructured":"Alvik \n I: \n \n \n Operative treatment of pes cavus. Acta Orthop Scand23: 137, 1953.10.3109\/1745367530899120613138110"},{"key":"i8750-7315-109-3-180-b09","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"927","DOI":"10.2106\/00004623-196850050-00005","article-title":"Surgical treatment of pes cavus by tarsal V-osteotomy","volume":"50","author":"Japas \n LM:","year":"1968","unstructured":"Japas \n LM: \n \n \n Surgical treatment of pes cavus by tarsal V-osteotomy. J Bone Joint Surg Am50: 927, 1968.567683210.2106\/00004623-196850050-00005"},{"key":"i8750-7315-109-3-180-b10","series-title":"J Foot Surg","first-page":"259","article-title":"Anterior tarsal resection (Cole osteotomy)","volume":"27","author":"Leal \n LO,","year":"1988","unstructured":"Leal \n LO, \n \n \n Bosta \n SD, \n \n \n Feller \n DP: \n \n \n Anterior tarsal resection (Cole osteotomy). J Foot Surg27: 259, 1988.3403930"},{"key":"i8750-7315-109-3-180-b11","series-title":"J Orthop Surg Res","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/1749-799X-9-44","article-title":"A prospective study of midfoot osteotomy combined with adjacent joint sparing internal fixation in treatment of rigid pes cavus deformity","volume":"9","author":"Zhou \n Y,","year":"2014","unstructured":"Zhou \n Y, \n \n \n Zhou \n B, \n \n \n Liu \n J, \n \n et al: \n A prospective study of midfoot osteotomy combined with adjacent joint sparing internal fixation in treatment of rigid pes cavus deformity. J Orthop Surg Res9: 44, 2014.24898481http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000338566000001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1186\/1749-799X-9-44"},{"key":"i8750-7315-109-3-180-b12","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.2106\/00004623-197355070-00006","article-title":"The role of foot surgery in progressive neuromuscular disorders in children","volume":"55","author":"Levitt \n RL,","year":"1973","unstructured":"Levitt \n RL, \n \n \n Canale \n ST, \n \n \n Cooke \n AJ\n Jr, \n \n et al: \n The role of foot surgery in progressive neuromuscular disorders in children. 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