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Titre : | Failure of Surgical Treatment in Patients with Cavovarus Deformity: Why Does This Happen and How Do We Approach Treatment? (2019) |
Auteurs : | Shuyuan Li ; Mark S. Myerson |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 24, n° 2, 2019) |
Article en page(s) : | p. 361-370 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthrodèse ; Chirurgie générale ; Osteotomie ; Pied creux |
Résumé : |
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 the sagittal plane is either in the midfoot or the hindfoot and determines the location as well as the type of the procedure that should be performed. The typical tendon transfer for the cavus foot is to use the posterior tibial tendon and place it in a position that is beneficial for the foot and ankle, particularly with respect to regaining some dorsiflexion power. There is a multiplanar deformity and the procedures are not performed at multiple levels (apices). An adductovarus deformity of the midfoot is a more severe variant of the cavus foot and can be an adductus of the midfoot associated with varus of the hindfoot or adductus associated with hindfoot varus and forefoot cavus as well as equinus. Beware of the patient with a significant callosity under the base of the fifth metatarsal. This is always associated with a severe hindfoot varus and supination of the midfoot and also at times associated with adduction of the midfoot. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S108375151930021X |