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This surgical procedure helps to create an arch in the foot. It is commonly performed to help correct the condition of pes planus (commonly called flat foot or fallen arch). A Cotton osteotomy can change the shape of your foot, giving it a more normal appearance.

The Cotton Osteotomy Procedure

This surgical procedure helps to create an arch in the foot. It is commonly performed to help correct the condition of pes planus (commonly called flat foot or fallen arch). A Cotton osteotomy can change the shape of your foot, giving it a more normal appearance.

Preparation

In preparation for this procedure, you are anesthetized. The surgeon creates an incision in the skin to access to the medial cuneiform. This is one of the bones of your midfoot.

Modifying the Bone

Surgery involves reconstruction of the arch by either preserving or eliminating the mobility of foot joints, sometimes referred to as cotton osteotomy. A wedge is inserted between the two sections of bone. The wedge may be made from bone graft or metallic graft and held in place with a staple, plate or screws. Or, the surgeon may use a metal plate that is designed to act as its own wedge. This type of wedge is anchored to the bone with screws, and the space between the bones is filled with a malleable bone graft. All wedges are designed to lengthen the top of the medial cuneiform, creating an arch in your foot.

 

End of Procedure and Aftercare

When the procedure is complete, the incision is closed and the foot is bandaged. You will wear a cast for several weeks, and then you may transition to a walking boot. You may benefit from physical therapy as your foot heals.

 


Related Resources:

Is Having Flat Feet a Disability? Should I Worry?

Adult Acquired Flatfoot

The animation content provided is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any specific questions you may have regarding a medical condition or procedure.