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The Failed Cavovarus Foot: What Went Wrong and Why?
Jonathan R M Kaplan1, Mark S Myerson
1Orthopaedic Surgery Foot and Ankle Fellow, Institute for Foot & Ankle Reconstruction, Mercy Medical Center, Baltimore, Maryland.
Instructional Course Lectures
|April 7, 2016
Summary
Adult cavovarus foot deformities require thorough evaluation for surgical correction. An algorithmic approach assessing flexibility, apex, and muscle balance is crucial for a stable, plantigrade foot and to prevent recurrence.
Area of Science:
- Orthopedic surgery
- Foot and ankle reconstruction
Background:
- Adult cavovarus foot deformity presents a spectrum of severity.
- Correction requires a comprehensive evaluation and tailored surgical strategy.
Purpose of the Study:
- To outline an algorithmic approach for evaluating and surgically correcting adult cavovarus foot deformities.
- To emphasize principles for preventing recurrence and progression of the deformity.
Main Methods:
- Thorough clinical evaluation of the cavovarus foot.
- Assessment of deformity flexibility (flexible vs. rigid).
- Identification of the apex or apices of the deformity and evaluation of muscle imbalances.
Main Results:
- An algorithmic approach ensures a stable, balanced, and plantigrade foot post-surgery.
- Addressing deformity extent and contributing factors prevents surgical failure.
Conclusions:
- A systematic evaluation is essential for successful surgical correction of adult cavovarus foot.
- Failure to address all aspects of the deformity leads to recurrence and progression.
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