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Cavus Foot Reconstruction

  • Jeffrey E. McAlister
  • Mark A. Prissel
  • Christopher F. Hyer
  • Gregory C. Berlet
  • Terrence M. Philbin
  • Patrick E. Bull
Chapter

Abstract

Pes cavus deformities have long been known to be complicated and require extensive preoperative evaluation, intraoperative surgical acuity, and postoperative rehabilitation. The reconstructive algorithm includes varying combinations of soft tissue releases, tendon lengthening and transfers, and corrective osteotomies. This is a disease process that evolves with time, and patients may present at different stages of the deforming process depending on the etiology. Some etiologies are continually progressive, and this is important to consider when formulating a corrective plan. Also, some or all of the deformity may be rigid which also needs to be appreciated during procedure selection. This chapter aims to cover the full spectrum of cavus reconstruction procedures with technical pearls and pitfalls for each.

Keywords

Cavovarus Charcot-Marie-Tooth Instability Peroneal longus Calcaneal osteotomy Subtle Cavus Cavus Midfoot Fusion 

References

  1. 1.
    Coleman SS, Chestnut WJ. A simple test for hindfoot flexibility in the cavovarus foot. Clin Orthop Relat Res. 1977;123:60–2.Google Scholar
  2. 2.
    Perera A, Guha A. Clinical and radiographic evidence of the cavus foot: surgical implications. Foot Ankle Clin. 2013;18(4):619–28.CrossRefGoogle Scholar
  3. 3.
    Gould N. Surgery in advanced Charcot-Marie-Tooth disease. Foot Ankle. 1984;4:267–73.CrossRefGoogle Scholar
  4. 4.
    Cole WH. The classic. The treatment of claw-foot. By Wallace H. Cole. 1940. Clin Orthop Relat Res. 1983;181:3–6.Google Scholar
  5. 5.
    Schmid T, Zurbriggen S, Zderic I, Gueorguiev B, Weber M, Krause FG. Ankle joint pressure changes in a pes cavovarus model: supramalleolar valgus osteotomy versus lateralizing calcaneal osteotomy. Foot Ankle Int. 2013;34(9):1190–7.CrossRefGoogle Scholar
  6. 6.
    Dwyer FC. Osteotomy of the calcaneum for pes cavus. J Bone Joint Surg Br. 1959;41:80–6.CrossRefGoogle Scholar
  7. 7.
    DeVries JG, McAlister JE. Corrective osteotomies used in cavus reconstruction. Clin Podiatr Med Surg. 2015;32:375.CrossRefGoogle Scholar
  8. 8.
    Pinney SJ, Sangeorzan BJ, Hansen ST. Surgical anatomy of the gastrocnemius recession (Strayer procedure). Foot Ankle Int. 2004;25(4):247–50.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jeffrey E. McAlister
    • 1
  • Mark A. Prissel
    • 2
  • Christopher F. Hyer
    • 2
  • Gregory C. Berlet
    • 2
  • Terrence M. Philbin
    • 2
  • Patrick E. Bull
    • 2
  1. 1.Arcadia Orthopedics and Sports MedicinePhoenixUSA
  2. 2.Orthopedic Foot & Ankle CenterWorthingtonUSA

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