Tendon Transfers and Their Role in Cavus Foot Deformity

Randt, Thorsten; Wolfe, Joshua; Keeter, Emily; Visser, Harry John

doi:10.1016/j.cpm.2021.02.005

Cited by 2 publications

(3 citation statements)

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“…It is important to look for the underlying causes, as some patients are not candidates for surgical treatment. For example, the correction of a hypertonic deformity caused by spastic cerebral palsy may lead to myasthenia paralysis [19].…”

Section: Discussionmentioning

confidence: 99%

“…There is a balance between several pairs of important muscles in the foot. For example, the tibialis anterior extends the first ray, while the peroneus longus flexes the first ray; the posterior tibial controls the foot varus, while the peroneus brevis controls the foot valgus; the peroneus longus and the calf triceps flex the foot, while both the tibialis anterior and the extensor longus cause the ankle dorsal extension [19]. Cavus foot typically results from an imbalance between the muscle forces acting upon the foot [19][20][21][22].…”

Section: Pathophysiology Of Cavus Footmentioning

confidence: 99%

“…A detailed soft-tissue balancing plan should be drawn up according to manual muscle testing. The tendon chosen to transfer should have strength no less than grade 4 or 5 [19]. The deforming force usually includes the peroneus longus tendon, the posterior tibial tendon, and the equinus.…”

Section: Soft-tissue Balancingmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation and Management of Cavus Foot in Adults: A Narrative Review

Qin

Zhang

2022

JCM

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Objective: Cavus foot is a deformity defined by the abnormal elevation of the medial arch of the foot and is a common but challenging occurrence for foot and ankle surgeons. In this review, we mainly aim to provide a comprehensive evaluation of the treatment options available for cavus foot correction based on the current research and our experience and to highlight new technologies and future research directions. Methods: Searches on the PubMed and Scopus databases were conducted using the search terms cavus foot, CMT (Charcot–Marie–Tooth), tendon-transfer, osteotomy, and adult. The studies were screened according to the inclusion and exclusion criteria, and the correction of cavus foot was analyzed based on the current research and our own experience. At the same time, 3D models were used to simulate different surgical methods for cavus foot correction. Results: A total of 575 papers were identified and subsequently evaluated based on the title, abstract, and full text. A total of 84 articles were finally included in the review. The deformities involved in cavus foot are complex. Neuromuscular disorders are the main etiologies of cavus foot. Clinical evaluations including biomechanics, etiology, classification, pathophysiology and physical and radiological examinations should be conducted carefully in order to acquire a full understanding of cavus deformities. Soft-tissue release, tendon-transfer, and bony reconstruction are commonly used to correct cavus foot. Surgical plans need to be customized for different patients and usually involve a combination of multiple surgical procedures. A 3D simulation is helpful in that it allows us to gain a more intuitive understanding of various osteotomy methods. Conclusion: The treatment of cavus foot requires us to make personalized operation plans according to different patients based on the comprehensive evaluation of their deformities. A combination of soft-tissue and bony procedures is required. Bony procedures are indispensable for cavus correction. With the promotion of digital orthopedics around the world, we can use computer technology to design and implement cavus foot operations in the future.

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Section: Discussionmentioning

confidence: 99%