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Dorsiflexion osteotomy of the first metatarsal
31%
94/308
Dorsiflexion osteotomy of the first metatarsal combined with anterior transfer of the tibialis posterior
37%
115/308
Triplanar osteotomy at the apex of the deformity
4%
11/308
Triplanar osteotomy at the apex of the deformity combined with valgus calcaneal osteotomy
12%
36/308
Triplanar osteotomy at the apex of the deformity combined with anterior transfer of the tibialis posterior
15%
47/308
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This deformity is early in the disease process. The foot is still flexible, as evidenced by correction with the Coleman block test. A simple dorsiflexion osteotomy of the first metatarsal should provide a plantigrade foot. More complex osteotomies are required later in the disease process when the foot is not flexible and the deformity does not correct with the Coleman block test. The patient may also require a tibialis anterior transfer later in the disease process but not at the present time.
1.9
(51)
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