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Related Experiment Videos

Correction of the cavus foot using external fixation.

Dror Paley1, Bradley M Lamm

  • 1Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA. dpaley@lifebridgehealth.org

Foot and Ankle Clinics
|August 25, 2004
PubMed
Summary

Cavus deformity, a condition of the foot, can stem from bone or soft tissue issues. Treatment varies based on the cause, with external fixation and soft tissue procedures crucial for correcting and maintaining alignment.

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Area of Science:

  • Orthopedic Surgery
  • Biomechanical Engineering

Background:

  • Cavus deformity presents with varied etiologies, including soft tissue contractures and bony abnormalities.
  • Deformities can be static or progressive, influencing therapeutic strategies.

Purpose of the Study:

  • To outline a treatment algorithm for cavus deformity based on its origin and progression.
  • To highlight the role of external fixation and soft tissue balancing in managing cavus deformities.

Main Methods:

  • Classification of cavus deformity based on soft tissue, bony, or combined origins, and static or progressive nature.
  • Surgical interventions including acute osteotomy, distraction osteotomies, and soft tissue releases.
  • Application of external fixation supplemented by tendon transfers and orthotic management for progressive cases.

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Main Results:

  • Bony deformities are addressed with osteotomies (acute or distraction).
  • Soft tissue contractures are managed through releases or distraction techniques.
  • External fixation is effective for correction, especially when combined with soft tissue balancing for progressive deformities.

Conclusions:

  • A tailored treatment approach is essential for cavus deformity, considering its specific characteristics.
  • External fixation, combined with soft tissue procedures and orthotics, offers a robust solution for achieving and sustaining correction, particularly in progressive cases.