Opening-wedge medial cuneiform (Cotton) osteotomy. Preoperative radiographic (A) and clinical (B) appearance. C, Osteotomy made with microsagittal saw. D, Lamina spreaders used to open osteotomy. E, Graft in place in osteotomy. F, Fixation with “claw” plate and two cannulated screws. G, Postoperative appearance of foot. SEE TECHNIQUE 83.8.