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Pes cavus: treatment by naviculo-cuboid osteotomy
Italian Journal of Orthopaedics and Traumatology
|September 1, 1986
Summary
The Japas V osteotomy effectively treats adult pes cavus before arthritis develops. A modified technique improves fragment control and reduces osteonecrosis risk, preserving joint mobility.
Area of Science:
- Orthopedic surgery
- Foot and ankle reconstruction
Background:
- Pes cavus (high-arched foot) in adults can lead to pain and secondary arthritic changes.
- The Japas V osteotomy is a recognized surgical technique for correcting pes cavus.
Purpose of the Study:
- To describe a modification of the Japas V osteotomy for adult pes cavus.
- To address challenges with fragment control and osteonecrosis in the original technique.
Main Methods:
- A modified V osteotomy technique focusing on the naviculo-cuboid joint.
- Surgical correction of the apex of the cavus deformity.
Main Results:
- The modified technique offers technically simple correction with rapid consolidation.
- Correction is achieved with minimal sacrifice of joint movement.
- The modification reduces the incidence of osteonecrosis and postoperative stiffness.
Conclusions:
- The modified Japas V osteotomy is a safe and effective treatment for adult pes cavus.
- This technique preserves joint function and minimizes complications.
- Early intervention before arthritic degeneration is recommended.