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Metatarsal osteotomy for the cavus foot.

R S Watanabe1

  • 1Department of Orthopaedic Surgery, University of California, Los Angeles.

Clinical Orthopaedics and Related Research
|March 1, 1990
PubMed
Summary

Proximal metatarsal osteotomy effectively treats pes cavus deformities. This surgical procedure for the cavus component of the foot achieved excellent or good results in 84% of cases after long-term follow-up.

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction
  • Skeletal deformities

Background:

  • Pes cavus, a high-arched foot deformity, can cause pain and mobility issues.
  • Surgical correction is often necessary for severe cases.
  • Osteotomy of the proximal metatarsals is a potential treatment option.

Observation:

  • Thirty-nine patients with pes cavus deformities underwent proximal metatarsal osteotomy.
  • Fifty operations were assessed, with follow-up averaging 15 years (up to 26 years).
  • Clinical evaluation focused on postoperative mobility using the Massachusetts General Hospital rating scale.

Findings:

  • Excellent or good outcomes were achieved in 84% of the proximal metatarsal osteotomies performed.
  • The study included patients with unilateral and bilateral pes cavus.
  • Long-term follow-up demonstrated sustained positive results.

Implications:

  • Proximal metatarsal osteotomy is a reliable surgical technique for correcting the cavus component of pes cavus deformities.
  • The procedure offers durable functional improvement and patient satisfaction.
  • This approach may be considered for patients with significant pes cavus requiring surgical intervention.

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