Radiographic Outcomes of Cotton Osteotomy in Treatment of Adult-Acquired Flatfoot Deformity.
Citation: Foot & Ankle International. 42(11):1384-1390, 2021 11.PMID: 34109855Institution: MedStar Union Memorial HospitalDepartment: Orthopaedic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Flatfoot | *Foot Deformities, Acquired | Adult | Flatfoot/dg [Diagnostic Imaging] | Flatfoot/su [Surgery] | Foot Deformities, Acquired/dg [Diagnostic Imaging] | Humans | Osteotomy | Radiography | Retrospective StudiesYear: 2021Local holdings: Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006ISSN:- 1071-1007
- Abousayed, Mostafa M Coleman, Michelle M de Cesar Netto, Cesar Guyton, Gregory P Schon, Lew C:
- https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 Abousayed, Mostafa M Coleman, Michelle M de Cesar Netto, Cesar Guyton, Gregory P Schon, Lew C:
- https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 Abousayed, Mostafa M Coleman, Michelle M de Cesar Netto, Cesar Guyton, Gregory P Schon, Lew C:
- https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 Abousayed, Mostafa M Coleman, Michelle M de Cesar Netto, Cesar Guyton, Gregory P Schon, Lew C:
- https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 Abousayed, Mostafa M Coleman, Michelle M de Cesar Netto, Cesar Guyton, Gregory P Schon, Lew C:
- https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598 https://orcid.org/0000-0002-8412-4275 https://orcid.org/0000-0003-3982-9951 https://orcid.org/0000-0001-6037-0685 https://orcid.org/0000-0002-1238-3673 https://orcid.org/0000-0001-9778-3598
| Item type | Current library | Collection | Call number | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
| Journal Article | MedStar Authors Catalog | Article | 34109855 | Available | 34109855 |
Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006
BACKGROUND: We investigated the long-term radiographic outcomes of the Cotton osteotomy performed at our institution by the 2 senior authors in conjunction with other reconstruction procedures to correct adult-acquired flatfoot deformity (AAFD).
DISCUSSION: This is the longest reported radiographic follow-up of the Cotton osteotomy performed to address forefoot varus deformity as part of AAFD. The Cotton osteotomy achieved radiographic correction of the medial longitudinal arch at early follow-up, but approximately half of the patients had lost over 50% of that correction at final follow-up. The lengthened angular shape of the cuneiform did not collapse, implying that further collapse occurred through the medial column joints.
LEVEL OF EVIDENCE: Level IV, case series.
METHODS: We retrospectively studied patients who underwent Cotton osteotomy between 2005 and 2010 with minimum 4-year follow-up. Radiographic assessment was made on weightbearing radiographs taken at 4 different time intervals: preoperative, early (first postoperative full weightbearing), intermediate (between 1 and 4 years postoperatively), and final (over 4 years postoperatively).
RESULTS: Nineteen patients were included. Final follow-up was 8.6 +/- 2.6 years. The lateral talus-first metatarsal angle improved significantly from preoperative to early radiographs (n = 15; mean change: 30 degrees, 95% CI, 21.6-38.7; P < .0001). A significant loss of correction was observed between intermediate and final radiographs (n = 11; mean change: 17 degrees, 95% CI, 8.1-26.4; P < .0001). Of 14 patients with early radiographs, 8 lost >50% of the correction initially achieved. Medial column height decreased by 3.0 mm (95% CI, 1.80-7.90; P = .35) between early radiographs and final follow-up.
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