Modification of the Gould operation for cavovarus reconstruction of the foot

In 1984, Gould described an operation for advanced Charcot-Marie-Tooth disease. A modification of the operation has been applied in cavovarus reconstruction of the foot at St. Anne's Hospitals. The object of the surgery is to convert this type of foot into a plantigrade, more flexible, painless unit. The technique for operation is detailed. An electrodynographic summary is also included. Early clinical results have been excellent to date. Satisfactory elimination of painful metatarsalgia is the chief goal of the surgery. In Gould's study, this was achieved through a 3 to 6-year follow-up. Confirmation of continued excellent results with our own operation must wait, pending a longer-term assessment.