A, Anteroposterior projection of medial cuneiform osteotomy before distraction. B, Lateral view of cuneiform osteotomy. C, Osteotomy site distracted, and bone graft impacted. (From Coughlin MJ: Juvenile bunions. In Mann RA, Coughlin MJ, editors: Surgery of the foot and ankle, ed 6, St. Louis, 1993, Mosby.) SEE TECHNIQUE 82.14.