2026-07-21T16:42:22Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/226172024-11-29T05:05:46Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud
author
Sanpera, Ignacio, Jr
author
Frontera-Juan, Guillem
author
Sanpera-Iglesias, Julia
author
Corominas-Frances, Laura
2024-09-06T09:56:41Z
2024-09-06T09:56:41Z
2018-11-02
Sanpera Jr I, Frontera-JG, Sanpera-Iglesias J, Coromines Frances L. Innovative treatment for pes cavovarus: a pilot study of 13 children. Acta Orthop. 2018 Nov 02;89(6):668-73. Epub 2018 Jun 18.
10.1080/17453674.2018.1486525
1745-3682
1745-3674
Acta Orthopaedica
http://hdl.handle.net/20.500.13003/9028
29911919
L622667884
2-s2.0-85048782881
https://hdl.handle.net/20.500.12105/22617
453932600014
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. The surgical technique included a dorsal hemiepiphysiodesis of the 1st metatarsal, and a plantar fascia release. The clinical deformity, hindfoot flexibility, and foot callosities, together with a radiological assessment (Meary angle, calcaneal pitch, and talo-calcaneal angle), was done pre- and postoperatively. At final check-up, after a median of 28 months (12-40), the Oxford Ankle Foot Questionnaire for children (OXAFQ-C) was used to assess patient satisfaction. The primary outcome was the hindfoot varus correction. Results: All the operated feet improved clinically and radiologically. Heel varus improved from a mean 6 degrees preoperatively to 5 degrees valgus postoperatively. In those children where treatment was initiated at a younger age, full correction was achieved. Footwear always improved. Interpretation: This treatment may offer a less aggressive alternative in the treatment of PCV in young children and may eventually reduce the amount of surgery needed in the future.
eng
Innovative treatment for pes cavovarus: a pilot study of 13 children
research article