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Der Orthopade·2021

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[Cavovarus foot].

N Harrasser1,2,3, F Lenze4, J Hamel5

  • 1Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar der TU München, Ismaningerstr. 22, 81675, München, Deutschland. norbert.harrasser@mri.tum.de.

Der Orthopade
|January 8, 2021
PubMed
Summary
This summary is machine-generated.

Cavovarus foot (CF) is a complex deformity requiring clinical diagnosis with imaging. Treatment ranges from conservative insoles to surgical interventions for improved gait.

Keywords:
CavovarusCharcot-Marie-ToothFoot deformityLambrinudi’s operationPlantigrade foot position

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Area of Science:

  • Orthopedics
  • Podiatry
  • Biomechanics

Background:

  • Cavovarus foot (CF) presents as a complex, three-dimensional foot deformity.
  • CF can be primary or secondary, necessitating a thorough diagnostic approach.
  • Accurate diagnosis involves clinical evaluation, patient history, neurological assessment, and specific radiological imaging.

Purpose of the Study:

  • To outline the diagnostic and treatment strategies for cavovarus foot.
  • To emphasize the importance of a comprehensive approach for optimal patient outcomes.

Main Methods:

  • Clinical diagnosis supported by patient history and neurological examination.
  • Hindfoot-centered radiological imaging for precise deformity assessment.
  • Conservative management including insoles and custom orthopedic footwear.
  • Surgical interventions involving soft tissue procedures, osteotomies, and arthrodesis.

Main Results:

  • Conservative treatments are tailored to deformity severity.
  • Surgical indications arise with progressive symptoms, requiring careful patient discussion.
  • Combined surgical techniques can effectively correct the deformity.
  • Successful treatment leads to a plantigrade foot position and enhanced gait function.

Conclusions:

  • Cavovarus foot management requires a multi-faceted approach.
  • Accurate diagnosis is critical for selecting appropriate conservative or surgical treatments.
  • Surgical correction, though complex, can significantly improve patient mobility and quality of life.