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Figure 1 | Journal of Orthopaedic Surgery and Research

Figure 1

From: Concomitant calcaneo-cuboid-cuneiform osteotomies and the modified Kidner procedure for severe flatfoot associated with symptomatic accessory navicular in children and adolescents

Figure 1

Triple C combined with the modified Kidner procedure. (a) Lateral view of the foot showing calcaneal osteotomy (black arrows) and insertion of the opening wedge graft from the cuneiform into the cuboid (asterisk). (b) Medial view of the foot showing plantar flexion and pronation of the foot achieved with closing wedge osteotomy of the medial cuneiform (arrowhead), providing reconstruction of the longitudinal arch, and the TPT was advanced and attached to the navicular with the two no. 2 braided nonabsorbable sutures attached to the anchor (white arrows). (c) Positioning of the anchor was confirmed under intraoperative fluoroscopy. (d) Immediate postoperative radiography after combined triple C and modified Kidner procedure.

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