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Article
Cavovarus deformity can be the result of a plantar flexed first ray (forefoot-driven), a deformity of the hindfoot (hindfoot-driven), or a combination of both. In midstance, plantarflexion of the first ray leads to a compensatory v[...]Article
Article
Treatment is best individualized to restore ankle, hindfoot, and midfoot alignment when performing arthrodesis to restore a plantigrade foot. Ankle, hindfoot, and pantalar arthrodesis is best indicated in the fixed cavovarus foot with advan[...]Article
Article
Most mistakes in surgical decision-making occur when trying to correct moderate cavus deformity. The Coleman block test may not be sufficient for predicting the ability of an osteotomy-based procedure to correct deformity. [...]Article
Article
The clinical evaluation of the cavus foot should determine whether the deformity is forefoot-driven or hindfoot-driven. Gait analysis and shoe wear patterns are the first steps in a thorough examination. Lateral column ov[...]Article
Total ankle replacement is an excellent surgery to allow the patients to ambulate more normally without the pitfalls of a fusion. Total Ankle Replacement in the varus ankle is possible when performed in an appropriate manner and with the mo[...]Article
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Cavovarus foot reconstruction is a highly demanding procedure. Success is even more difficult in cases in which reconstruction has failed. Identification of the apex of deformity is crucial. Liberal use of tendon transfers helps to correct th[...]Article
There is not as much role for the Coleman block test to determine flexibility of the foot, and this has led to many failures where we believed the foot to be flexible, and indeed an osteotomy was insufficient treatment. The apex in[...]Article
It is important to identify the level of the deformity or deformities. It is important to get the limb as close to anatomic alignment as possible. Many levels and multiple procedures may be involved with this reconstruction.Article
Article
Clinical examination is key to identifying any functional loss. Weight-bearing radiographs are used for procedure selection and quantifying the required correction. Although several calcaneal osteotomies have been previou[...]