Pes cavovarus. Review of a surgical approach using selective soft-tissue procedures

This study reviews the surgical treatment of twenty-seven patients (thirty-nine feet) with cavovarus foot deformity. The patients' ages ranged from six months to fifteen years. Only those patients who had at least a two-year follow-up were selected for statistical analysis. This group comprised twenty patients (twenty-seven feet). A standardized treatment program was used, based on the flexibility of the deformity. A radical plantar or plantar medial release was employed as indicated, in combination with tendon transfers or osteotomy of the fore part of the foot, or both. All patients were available for follow-up examination and special roentgenograms of the hind part of the foot. Follow-up appraisal of the patients with more than two years' follow-up revealed more than 85 per cent acceptable results with no major complications.