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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
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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
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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
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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
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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[...]Article
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Conservative therapy is recommended for asymptomatic midfoot pes cavus and the initial treatment of symptomatic idiopathic midfoot pes cavus. When surgically addressing midfoot pes cavus, flexible deformities can be corrected with tendon tr[...]Article
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This article presents a variety of severe deformities that the authors have encountered on Steps2Walk humanitarian programs globally. In correcting foot and ankle deformities, treatment should include both bony alignment correction and sof[...]Article
In carefully selected cases, the rigid cavovarus foot may be corrected with a combination of osteotomies and tendon transfers rather than a triple arthrodesis. In a foot with multiplanar deformity, multiple levels of arthrodesis and osteot[...]Article
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A wide variety of conditions contribute to the development of a cavus foot deformity, many of which may stem from a neuromuscular or neurologic etiology; an appropriate evaluation must be performed. Neurologic and neuromuscular disorders in[...]Article
A cavovarus deformity results from muscular imbalances of the foot. Specifically, it can be driven by plantarflexion of the first ray (cavus), which results in inversion of the calcaneus/hindfoot (varus). History, physical examinat[...]Article
Livre
T. Leemrijse ; Jean-Luc Besse ; Bernhard Devos Bevernage ; B. Valtin | [S.l.] : Elsevier Masson | 2015Issue du travail collectif d'auteurs en majorité européens, tous leaders dans leur spécialité, cette nouvelle édition rassemble toutes les données actualisées sur la pathologie du pied et de la cheville.Les pathologies du pied sont très fréquent[...]DisponibilitéExemplaires (1)
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Exclu du prêtArticle
In many cases, cavus foot deformity is associated with an underlying neurologic cause. A complete neuromuscular examination is required as part of the evaluation of cavus foot deformity, particularly when surgical intervention is contemplat[...]Article
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Proper preoperative assessment of clinical and radiographic findings is critical to determine the correct surgical procedure for adequate reduction of a cavus foot deformity. Triple arthrodesis is reserved for end-stage deformity with evide[...]Article
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Management of the cavus foot deformity requires a comprehensive approach to patient evaluation, conservative therapy, and surgical intervention. History and physical examination of the patient with a cavus foot deformity should focus on the[...]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
The cavus foot has long been a complex condition known to be associated with neurologic conditionsmost commonly, Charcot-Marie-Tooth disease and other hereditary motor sensory neuropathies, poliomyelitis, spina bifida, myelomeningocele, Friedre[...]Article
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Coronal plane deformity following total ankle arthroplasty has been associated with poor clinical outcomes and early prosthesis failure. Neutral mechanical alignment and prosthetic joint stability must be achieved through meticulou[...]Article
The goal of the treatment of pediatric cavovarus deformities is a well-balanced foot with optimal plantar pressure distribution, no progression or recurrence of the deformity, and no or postponed concomitant ankle, midfoot, and hindfoot arth[...]