Cavus foot surgical correction in children: soft tissue releases, osteotomies, neurological assessment. Dr. Priano, Milan.
Surgical correction for symptomatic high-arched feet
Learn about this condition →Release of the tight plantar fascia and other soft tissue structures contributing to the deformity. Often includes tendon transfers for muscle rebalancing.
Flexible cavus foot with symptoms not responding to orthotics and physical therapy.
Cast or boot for 4-6 weeks. Custom orthotics long-term.
Correction of hindfoot varus through a wedge osteotomy of the calcaneus to restore proper alignment.
Rigid hindfoot varus component of cavus deformity.
Non-weight bearing cast for 6 weeks. Progressive weight bearing. Full recovery 3-4 months.
Elevation of the first metatarsal to reduce forefoot equinus and improve weight distribution.
Plantarflexed first ray contributing to cavus posture.
Cast or boot for 4-6 weeks. Weight bearing as tolerated.
Cavus foot correction often requires multiple procedures addressing different components of the deformity. A thorough neurological evaluation is essential before surgery to identify any underlying cause (Charcot-Marie-Tooth, etc.).
Note: This is an indicative pathway, personalised after surgery. Some elements are relatively stable (goal of the procedure, approximate hospital stay, presence of a cast or brace); others depend on the individual case (weight bearing, range of motion, imaging, sport, hardware removal, follow-up intervals) and on the surgical technique chosen.
Day-surgery to 1 night depending on procedure complexity.
Weeks 1-6: Cast or walking boot. Non-weight bearing to progressive weight bearing based on specific procedures.
Weeks 6-8: Transition to supportive footwear with custom orthotics. Begin physical therapy.
Months 2-4: Progressive strengthening and balance exercises. Orthotics adjusted as needed.
Return to sport: 3-4 months. Ankle stability exercises important. Custom orthotics for sports.
Follow-ups at 2 weeks, 6 weeks, 3 months, 6 months, 1 year. Long-term if neurological condition present.
Undercorrection/overcorrection, recurrence (especially if neurological cause), wound healing issues, ankle instability.
Causes, diagnosis, conservative options and when surgery is considered.
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