Midfoot arthritis with concomitant deformity can present a daunting reconstructive dilemma. Midfoot arthritis without other deformity can usually be treated with minor realignment at the tarsometatarsal joints. Some patients however, have concomitant hindfoot deformity and other problems which must be noted and addressed at the time of reconstruction. These more severe deformities can require midfoot osteotomy and inclusion of other adjunct procedures to appropriately correct the alignment of the midfoot and hindfoot.
Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.