The provider performs an osteotomy of the tarsal bones, i.e., he surgically incises or transects the foot bones adjacent to the articulation, or joint, between the foot and the leg, and then realigns the bones. He also places a bone graft to fill in gaps in the tarsal bones and straighten the deformity. This procedure excludes the two tarsal bones closest to the articulation, i.e., the calcaneus, or heel bone, and the talus, or ankle bone. The provider performs this procedure to fixate a talus fracture or repair a deformity such as a tarsal coalition and maximize the movement of the ankle joint.
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