Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series

Rodrigo Schroll Astolfi, José Victor de Vasconcelos Coelho, Henrique César Temóteo Ribeiro, Alexandre Leme Godoy dos Santos and José A. Dias Leite
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Rodrigo Schroll Astolfi: Department of Surgery, Faculty of Medicine, Campus Porangabussu, Federal Universiy of Ceará, Fortaleza 60430-160, Brazil
José Victor de Vasconcelos Coelho: Department of Surgery, Faculty of Medicine, Campus Porangabussu, Federal Universiy of Ceará, Fortaleza 60430-160, Brazil
Henrique César Temóteo Ribeiro: Department of Surgery, Faculty of Medicine, Campus Porangabussu, Federal Universiy of Ceará, Fortaleza 60430-160, Brazil
Alexandre Leme Godoy dos Santos: Department of Surgery, Faculty of Medicine, Campus Porangabussu, Federal Universiy of Ceará, Fortaleza 60430-160, Brazil
José A. Dias Leite: Department of Surgery, Faculty of Medicine, Campus Porangabussu, Federal Universiy of Ceará, Fortaleza 60430-160, Brazil

IJERPH, 2021, vol. 18, issue 19, 1-7

Abstract: Cavus foot is a tri-planar deformity that requires correction in several bones and soft tissue. Minimally invasive surgeries are less aggressive, faster and easier to recover from. Here, we describe the initial results of a technique for percutaneous cavus foot correction. The procedure consists of calcaneal dorsal/lateral closing wedge osteotomy (with fixation), cuboid, medial cuneiform and first metatarsal closing wedge osteotomy (without fixation), and plantar fascia and tibialis posterior tenotomy with the patient in the prone position. Immediate weight bearing is permitted. Twenty patients were selected to undergo the procedure. The mean follow-up was 4.2 months and mean age 42.3 years. Eight of the 20 patients were submitted to cuboid and first metatarsal osteotomy, and 12 (60%) only calcaneal osteotomy. The median time for complete bone healing was 2.2 months. No wound complications were observed. No cases of non-consolidation of the cuboid or first metatarsal osteotomies were detected. The most common complication was sural nerve paresthesia. This is the first description of cavus foot correction using a minimally invasive technique. Complete bone healing is obtained even with immediate weight bearing and without cuboid and first metatarsal fixation.

Keywords: cavus foot; hindfoot osteotomy; minimally invasive (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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