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https://www.readbyqxmd.com/read/29931378/-components-of-the-joint-sparing-combined-bony-and-soft-tissue-correction-of-the-cavovarus-foot
#1
REVIEW
A Wallroth, T Dreher
OBJECTIVE: Combined bony and soft tissue correction of a mild foot and flexible rearfoot deformity in cavovarus foot. INDICATIONS: Drop foot during swing phase and muscular imbalance in the stance phase in cavovarus foot, flexible cavovarus foot, accompanying symptoms such as recurrent calluses and ulcerations, compliance. CONTRAINDICATIONS: Pes cavovarus of spastic genesis, mild deformities, fixed bony deformity, lack of compliance, florid inflammation in the foot area, severe peripheral artery disease (PAD), diabetes mellitus...
June 21, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29911919/innovative-treatment-for-pes-cavovarus-a-pilot-study-of-13-children
#2
Ignacio Sanpera, Guillem Frontera-Juan, Julia Sanpera-Iglesias, Laura Corominas-Frances
Background and purpose - Pes cavovarus (PCV) is a complex deformity, frequently related to neurological conditions and associated with foot pain, callosities, and walking instability. The deformity has the tendency to increase during growth. Orthotic treatment is ineffective and surgery may be troublesome. We present the preliminary results of a new mini-invasive surgical technique for correction of this foot deformity. Patients and methods - We operated on 13 children (24 feet), age 7-13 years. In 7 children the deformity was neurological in origin...
June 18, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29627135/plantar-fascia-release-through-a-single-lateral-incision-in-the-operative-management-of-a-cavovarus-foot-a-cadaver-model-analysis-of-the-operative-technique
#3
Eric M Kiskaddon, Brett D Meeks, Joseph G Roberts, Richard T Laughlin
Plantar fascia release and calcaneal slide osteotomy are often components of the surgical management for cavovarus deformities of the foot. In this setting, plantar fascia release has traditionally been performed through an incision over the medial calcaneal tuberosity, and the calcaneal osteotomy through a lateral incision. Two separate incisions can potentially increase the operative time and morbidity. The purpose of the present study was threefold: to describe the operative technique, use cadaveric dissection to analyze whether a full release of the plantar fascia was possible through the lateral incision, and examine the proximity of the medial neurovascular structures to both the plantar fascia release and calcaneal slide osteotomy when performed together...
April 4, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29616845/lateralizing-calcaneal-osteotomies-and-their-effect-on-calcaneal-alignment-a-three-dimensional-digital-model-analysis
#4
Elizabeth A Cody, Andrew P Kraszewski, Matthew S Conti, Scott J Ellis
BACKGROUND: Few authors have directly compared multiple types of lateralizing calcaneal osteotomies (LCOs) in terms of their ability to achieve deformity correction. The aim of this research was to use a digital model of a varus hindfoot to compare 4 different LCOs in terms of deformity correction and amount of tuberosity lateralization required. The authors hypothesis was that osteotomies involving a wedge resection would achieve greater correction with less lateralization. METHODS: A weightbearing computed tomographic scan of a patient with a varus hindfoot deformity was used to construct a 3-dimensional digital model of the hindfoot, preserving weightbearing alignment...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29366341/use-of-3d-prints-to-compare-the-efficacy-of-three-different-calcaneal-osteotomies-for-the-correction-of-heel-varus
#5
Glenn B Pfeffer, Max P Michalski, Tina Basak, Joseph C Giaconi
BACKGROUND: Cavovarus deformity of the hindfoot is typically caused by neurologic disorders. Multiple osteotomies have been described for the correction of varus deformity but without clinical comparison. In this study, we used 18 identical 3-dimensional (3D) prints of a patient with heel varus to compare the operative correction obtained with Dwyer, oblique, and Z osteotomies. METHODS: A computed tomography (CT) scan of a patient with heel varus was used to create 18 identical 3D prints of the talus, calcaneus, and cuboid...
May 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29228800/fifth-metatarsal-jones-fractures-in-the-athlete
#6
David A Porter
Fifth metatarsal fractures, otherwise known as "Jones" fractures, occur commonly in athletes and nonathletes alike. While recent occurrence in the popular elite athlete has increased public knowledge and interest in the fracture, this injury is common at all levels of sport. This review will focus on all three types of Jones fractures. The current standard for treatment is operative intervention with intramedullary screw fixation. Athletes typically report an acute episode of lateral foot pain, described as an ache...
February 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29138895/-cavovarus-foot
#7
EDITORIAL
T Mittlmeier, R A Fuhrmann
No abstract text is available yet for this article.
December 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29071376/-corrective-procedures-and-indications-for-cavovarus-foot-deformities-in-children-and-adolescents
#8
REVIEW
J Hamel
Cavovarus deformities in children and adolescents require sound considerations concerning the timing for corrective surgery. Progression can be recognized best by repeated pedographic examination with evaluation of the typical features of cavovarus deformity. Surgical correction consists of a combination of soft tissue release, bony realignment, and restoration of muscle balance. In most cases plantar or medioplantar soft tissue release should be considered, whereas calf muscle lengthening is rarely indicated...
December 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29052742/-triple-arthrodesis-for-correction-of-cavovarus-deformity
#9
REVIEW
A Barg, R Ruiz, B Hintermann
OBJECTIVE: The aim is to correct the underlying cavovarus deformity and to achieve a pain-free and stable hindfoot. INDICATIONS: Rigid neurologic, posttraumatic, congenital, and idiopathic cavovarus deformities. CONTRAINDICATIONS: General surgical or anesthesiological risks, infections, critical soft tissue conditions, neurovascular impairment of the lower extremity, noncompliance, patients with severely reduced bone quality, insulin-dependent diabetes mellitus, smoking...
December 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28863729/rate-of-neurologic-injury-following-lateralizing-calcaneal-osteotomy-performed-through-a-medial-approach
#10
David Jaffe, David Vier, Justin Kane, Michal Kozanek, Christian Royer
BACKGROUND: Calcaneal osteotomies are commonly used to correct varus hindfoot alignment in patients with symptomatic cavovarus deformity. Translational, closing wedge, and Malerba-type osteotomies have been implicated in the development of tarsal tunnel syndrome and neurologic injury to branches of the tibial nerve. The authors hypothesized that there would be minimal clinically important injury to the tibial nerve by performing a translational calcaneal osteotomy from a medial approach...
December 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28779810/overcorrected-flatfoot-reconstruction
#11
REVIEW
Todd A Irwin
The overcorrected flatfoot reconstruction is a less common but often difficult sequelae of surgical treatment of the adult acquired flatfoot deformity. Understanding the patient's symptoms and how they correlate to the procedures performed during the index surgery are paramount to determining the appropriate course of treatment. Patients' symptoms may resemble those seen in the cavovarus foot condition, often secondary to overlengthening of the lateral column or excessive displacement of the calcaneal tuberosity...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28630759/the-adult-cavus-foot
#12
Carlos Maynou, Christophe Szymanski, Alexis Thiounn
Cavovarus deformity can be classified by the severity of malalignment ranging from a subtle and flexible to a severe and fixed cavovarus deformity of the foot.In the mild cavovarus foot, careful clinical assessment is required to identify the deformity.Weight-bearing radiographs are necessary to indicate the apex of the deformity and quantify the correction required.Surgery is performed when conservative measures fail and various surgical procedures have been described, including a combination of soft-tissue releases, tendon transfers and osteotomies, all with the aim of achieving a plantigrade and balanced foot...
May 2017: EFORT Open Reviews
https://www.readbyqxmd.com/read/28182859/radiographic-study-of-pes-planovarus
#13
Janic Aebi, Monika Horisberger, Arno Frigg
BACKGROUND: Depending on the direction of the subtalar joint, a foot deformity generally tends towards pronation (pes planovalgus) or supination (pes cavovarus). However, the combination of hindfoot varus and flat midfoot/forefoot (pes planovarus) is an exception to this rule. Pes planovarus has so far only been referred to in connection with Müller-Weiss disease and congenital disease. We diagnosed pes planovarus in otherwise healthy patients without these diseases. METHODS: Forty patients with 54 symptomatic feet who were treated between August 2012 and July 2016 were included (mean age, 44...
May 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/27825708/is-non-operative-management-of-childhood-neurologic-cavovarus-foot-effective
#14
H d'Astorg, V Rampal, R Seringe, C Glorion, P Wicart
INTRODUCTION: Neurologic pes cavus is a progressive deformity that is difficult to treat during growth. The present study reports results of non-operative management, based on the pathophysiology of the deformity, by untwisting nocturnal splint, preceded in some cases by untwisting walking cast. The objective was to assess efficacy and impact on indications for surgery. METHOD: Twenty-three children (35 feet) were included. All had neurologic cavovarus foot, which was progressive in 24 feet (69%) (Charcot-Marie-Tooth disease)...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27810026/does-osteoarthritis-of-the-ankle-joint-progress-after-triple-arthrodesis-a-midterm-prospective-outcome-study
#15
Chris A M Aarts, Petra J C Heesterbeek, Perry E M Jaspers, Mark Stegeman, Jan Willem K Louwerens
BACKGROUND: Debate exists regarding the effect of triple fusion on the development of osteoarthritis (OA) of the ankle joint. The midterm outcome after triple arthrodesis and the prevalence of OA following triple arthrodesis are reported in this study. The role of alignment in the development of OA was investigated. METHODS: Seventy five patients (87 feet) were evaluated in 2003 and of these, 48 patients (55 feet) were available for second evaluation in 2008. X-rays of the ankles and feet were made prior to surgery, in 2003 and in 2008, and the level of osteoarthritis (OA) was graded with the Kellgren and Lawrence score...
December 2016: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27726748/ct-and-mr-imaging-of-the-postoperative-ankle-and-foot
#16
REVIEW
Gary M LiMarzi, Kurt F Scherer, Michael L Richardson, David R Warden, Christopher W Wasyliw, Jack A Porrino, Christopher R Pettis, Gideon Lewis, Christopher C Mason, Laura W Bancroft
A variety of surgical procedures exist for repair of both traumatic and degenerative osseous and soft-tissue pathologic conditions involving the foot and ankle. It is necessary for the radiologist to be familiar with these surgical procedures, so as to assess structural integrity, evaluate for complicating features, and avoid diagnostic pitfalls. Adequate interpretation of postoperative changes often requires access to surgical documentation to evaluate not only the surgery itself but the expected timeline for resolution of normal postoperative changes versus progressive disease...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27490994/the-cavovarus-foot-in-hereditary-motor-and-sensory-neuropathies
#17
Andrew G Georgiadis, David A Spiegel, Keith D Baldwin
No abstract text is available yet for this article.
December 22, 2015: JBJS Reviews
https://www.readbyqxmd.com/read/27340259/neurologic-deficit-associated-with-lateralizing-calcaneal-osteotomy-for-cavovarus-foot-correction
#18
Scott VanValkenburg, Raymond Y Hsu, Daniel S Palmer, Brad Blankenhorn, Bryan D Den Hartog, Christopher W DiGiovanni
BACKGROUND: Lateralizing calcaneal osteotomy (LCO) is a frequently used technique to correct hindfoot varus deformity. Tibial nerve palsy following this osteotomy has been described in case reports but the incidence has not been quantified. METHODS: Eighty feet in 72 patients with cavovarus foot deformity were treated over a 6-year span by 2 surgeons at their respective institutions. Variations of the LCO were employed for correction per surgeon choice. A retrospective chart review analyzed osteotomy type, osteotomy location, amount of translation, and addition of a tarsal tunnel release in relation to the presence of any postoperative tibial nerve palsy...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27095088/combined-total-ankle-arthroplasty-with-posterior-tibial-tendon-transfer-for-end-stage-cavovarus-deformity
#19
John M Schuberth, Melinda A Bowlby, Jeffrey C Christensen
Posterior tibial tendon transfer has been described to reduce and balance the cavovarus deformity in those patients who receive a total ankle replacement for end-stage arthritis. In this article, we discuss the indications and provide a detailed description of the technique for this powerful procedure. Case examples that demonstrate the utility of the procedure are provided.
July 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27049201/the-failed-cavovarus-foot-what-went-wrong-and-why
#20
Jonathan R M Kaplan, Mark S Myerson
The adult cavovarus foot exists on a spectrum and, therefore, requires a thorough evaluation to determine the extent of the deformity and then choose from a multitude of surgical procedures to achieve correction. Regardless of the severity of the deformity, treatment should include an algorithmic approach to adequately achieve a stable, balanced, and plantigrade foot. To prevent failure, the surgeon should evaluate whether the deformity is flexible or rigid, determine the location of the apex or apices of the deformity, evaluate any muscle imbalances occurring about the foot and ankle, and determine the need for additional procedures...
2016: Instructional Course Lectures
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