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Updated: Sep 10, 2026

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
[Pes cavus in children]
1Service d'Orthopédie et de Chirurgie Réparatrice de l'Enfant (Pr Carlioz), Hôpital Trousseau, Paris.
Insights
Medial pes cavus, often caused by neurological issues, leads to severe foot arch deepening and deformities. Surgical intervention is necessary for significant functional impairment, with age-appropriate soft tissue or bone procedures.
Area of Science:
- Orthopedics
- Neurology
- Podiatry
Background:
- Pes cavus presents with varied anatomical features and clinical outcomes.
- Medial pes cavus, frequently linked to neurological disorders, causes progressive arch deepening and foot deformities.
- Severe symptoms necessitate surgical consideration for functional impairment.
Purpose of the Study:
- To summarize the characteristics and management of medial pes cavus.
- To outline surgical approaches based on patient age and deformity severity.
Main Methods:
- Review of clinical presentations of medial pes cavus.
- Analysis of surgical techniques for pediatric and adolescent populations.
Main Results:
- Medial pes cavus involves progressive arch deepening and deformities of the toes and hindfoot.
- Surgical interventions vary based on age, including soft tissue procedures (e.g., plantar release) and bone procedures (e.g., osteotomy, fusion).
Conclusions:
- Medial pes cavus requires tailored surgical strategies.
- Age-appropriate interventions are crucial for addressing deformities and improving function in pes cavus.
Abstract:
There are several forms of pes cavus with specific anatomical features and different outcomes. Medial pes cavus is often due to a neurological disorder and causes severe symptoms. The causal disease is responsible for gradual deepening of the arch and deformities of the toes and hindfoot. Surgery is warranted in severe deformities with functional impairment. Procedures performed in younger patients involve the soft tissues; an example is plantar release with or without osteotomy of the calcaneus. In older children, osteotomy or fusion is required.
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