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Published on: January 24, 2018
Management of Midfoot Cavus
John F Grady1, Jaclyn Schumann2, Clare Cormier3
1Podiatric Residencies, Advocate Christ Medical Center and Advocate Children's Hospital, 4650 Southwest Highway, Oak Lawn, IL 60453, USA; Rosalind Franklin University (Adjunct Track), North Chicago, IL, USA; Foot and Ankle Institute of Illinois, 4650 Southwest Highway, Oak Lawn, IL 60453, USA; Foot and Ankle Institute for Research (FAIR), 4650 Southwest Highway, Oak Lawn, IL 60453, USA.
Midfoot cavus, a foot deformity, lacks standard definitions and surgical guidelines. Literature review shows high patient satisfaction with Cole osteotomy and first metatarsal osteotomy for treatment.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Deformities
Background:
- Midfoot cavus is an under-researched foot deformity.
- Current literature lacks a standardized diagnostic definition and surgical management algorithm for midfoot cavus.
Purpose of the Study:
- To review the existing literature on midfoot cavus.
- To identify effective surgical treatments and patient satisfaction rates for midfoot cavus.
Main Methods:
- Extensive literature review of studies on midfoot cavus.
- Analysis of surgical techniques and patient outcomes.
Main Results:
- A majority of patients report satisfaction with the Cole osteotomy.
- Dorsiflexory first metatarsal osteotomy also shows high patient satisfaction.
- Lateralizing calcaneal osteotomies are effective for midfoot cavus with secondary rearfoot deformity.
Conclusions:
- Cole osteotomy and dorsiflexory first metatarsal osteotomy are effective treatments for midfoot cavus.
- Further research is needed to establish standardized diagnostic criteria and surgical algorithms for midfoot cavus.
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