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Metatarsal osteotomy for the cavus foot
1Department of Orthopaedic Surgery, University of California, Los Angeles.
Clinical Orthopaedics and Related Research
|March 1, 1990
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.
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.