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Review
. 2026 Jan;43(1):31-40.
doi: 10.1016/j.cpm.2025.07.003. Epub 2025 Oct 10.

Cole Osteotomy and Variations

Affiliations
Review

Cole Osteotomy and Variations

Garrett Wobst. Clin Podiatr Med Surg. 2026 Jan.

Abstract

Pes cavus can be a painful and debilitating condition that is often recalcitrant to conservative treatment. Oftentimes surgical reconstruction is necessary for the patient to obtain a pain-free plantigrade foot. An intimate knowledge of pes cavus foot architecture is necessary to select appropriate surgical treatment of the symptomatic patient. Midfoot osteotomies such as the Cole osteotomy can be a powerful procedure to reduce deformities where the apex is located in the midfoot. Midfoot osteotomies are almost never performed in isolation. Midfoot osteotomies including the Cole osteotomy are an attribute in any foot and ankle surgeon's armamentarium.

Keywords: Anterior cavus; Cole osteotomy; Japas osteotomy; Midfoot cavus; Midfoot osteotomy; Pes cavus.

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Conflict of interest statement

Disclosure I have a consultant agreement with Enovis and Conmed. I am a member of the Avera St Lukes Board of Directors. I have nothing to disclose with regard to the content of this article.

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