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Cavus, cavovarus, and calcaneocavus. An update
Clinical Orthopaedics and Related Research
|July 1, 1983
Summary
Cavus foot deformities, often from neuromuscular issues, can be corrected surgically. Treatment choice depends on patient age, deformity type, and severity, ranging from soft tissue to bone procedures.
Area of Science:
- Orthopedics
- Neurology
- Pediatric Surgery
Background:
- Cavus, cavovarus, and calcaneocavus foot deformities are frequently linked to neuromuscular disorders.
- These disorders cause muscle imbalances in the foot, affecting its structure.
- Progressive cavus deformity in children warrants investigation for intraspinal causes.
Purpose of the Study:
- To outline the surgical management of cavus foot deformities and their variants.
- To discuss the factors influencing the choice of surgical intervention.
- To highlight the different surgical techniques based on patient characteristics and deformity type.
Main Methods:
- Review of surgical procedures for cavus foot correction.
- Analysis of factors guiding surgical decision-making (age, flexibility, cause, roentgenograms).
- Categorization of procedures into soft tissue and bony interventions.
Main Results:
- Plantar release is the most common corrective procedure for cavus feet.
- Soft tissue procedures (plantar fasciotomy, tendon transfers) are suitable for younger patients.
- Bony procedures (osteotomies) and triple arthrodesis are used for mature feet or salvage.
Conclusions:
- Surgical correction of cavus foot deformities is tailored to individual patient factors.
- A stepwise approach considering age and deformity characteristics guides treatment selection.
- Various soft tissue and bony procedures, including triple arthrodesis, offer effective correction.