The indications, contraindications, technique, and end results of
thirty-four tarsometatarsal truncated-wedge arthrodeses performed for cavus
and equinovarus deformity of the fore part of the foot were reviewed. The
etiology of deformity included idiopathic pes cavus, equinus deformity of
the fore part of the foot, residual club foot, poliomyelitis, and
compartment syndromes. With th truncated-wedge arthrodesis the subtalar
joint is not violated and selective correction of any combination of
depression of the metatarsal head is readily accomplished. By strict
adherence to the indications and exacting surgical technique, complications
are rare and the end results are uniformly excellent.