The Journal of Bone and Joint Surgery, Vol 62, Issue 6 942-953, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
Pes cavovarus. Review of a surgical approach using selective soft-tissue procedures
L Paulos, SS Coleman and KM Samuelson
This study reviews the surgical treatment of twenty-seven patients
(thirty-nine feet) with cavovarus foot deformity. The patients' ages ranged
from six months to fifteen years. Only those patients who had at least a
two-year follow-up were selected for statistical analysis. This group
comprised twenty patients (twenty-seven feet). A standardized treatment
program was used, based on the flexibility of the deformity. A radical
plantar or plantar medial release was employed as indicated, in combination
with tendon transfers or osteotomy of the fore part of the foot, or both.
All patients were available for follow-up examination and special
roentgenograms of the hind part of the foot. Follow-up appraisal of the
patients with more than two years' follow-up revealed more than 85 per cent
acceptable results with no major complications.