Three-dimensional concepts underlie various @entity2611 in the midfoot. We wondered whether the first cuneiform osteotomy, usually indicated for forefoot correction, had an effect on the hindfoot. We retrospectively studied 18 @entity1 (31 feet) with metatarsus adductus and varus who had a biplane first cuneiform osteotomy between 1994 and 2001. No @entity1 had associated @entity4094 . All had persistent @entity158 and functional complaints for at least 2 years before surgery, and all had a minimum followup of 2 years. Group A (13 feet) with forefoot adduction without hindfoot valgus had an isolated first cuneiform osteotomy. Group B (18 feet) with slight forefoot adduction, hindfoot valgus, and supination after hindfoot valgus correction had first cuneiform osteotomy and a subtalar arthrodesis. At 5 years mean followup we evaluated multiple measurements on preoperative and followup weightbearing radiographs. Complementary demographic information and clinical @entity1 information were collected. @entity196 was associated with architectural changes in hindfoot bone angles. This finding suggests new surgical approaches. LEVEL OF EVIDENCE: Therapeutic Study. Level IV (Case series). See the Guidelines for Authors for a complete description of levels of evidence.

XXXX alters hindfoot architecture.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity4094 :: ('MESH:D009468', 'Disease') :: ['malformations or neuromuscular disease'] @entity2611 :: ('MESH:D005532', 'Disease') :: ['congenital foot deformities'] @entity196 :: ('MESH:D020754', 'Disease') :: ['First cuneiform osteotomy'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity196 :: (MESH:D020754,Disease) :: ['First cuneiform osteotomy']
