Surgery: Cavus Foot
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 →Surgical Techniques
Plantar Fascia Release and Soft Tissue Procedures
Release of the tight plantar fascia and other soft tissue structures contributing to the deformity. Often includes tendon transfers for muscle rebalancing.
Indication
Flexible cavus foot with symptoms not responding to orthotics and physical therapy.
Recovery
Cast or boot for 4-6 weeks. Custom orthotics long-term.
Calcaneal Osteotomy (Dwyer)
Correction of hindfoot varus through a wedge osteotomy of the calcaneus to restore proper alignment.
Indication
Rigid hindfoot varus component of cavus deformity.
Recovery
Non-weight bearing cast for 6 weeks. Progressive weight bearing. Full recovery 3-4 months.
First Metatarsal Dorsiflexion Osteotomy
Elevation of the first metatarsal to reduce forefoot equinus and improve weight distribution.
Indication
Plantarflexed first ray contributing to cavus posture.
Recovery
Cast or boot for 4-6 weeks. Weight bearing as tolerated.
Postoperative Overview
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.).
Detailed Recovery Timeline
Note: The timeline below is a general baseline. The actual postoperative course varies depending on the specific surgical technique chosen (see procedures above).
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
Return to sport: 3-4 months. Ankle stability exercises important. Custom orthotics for sports.
Follow-up Schedule
Follow-ups at 2 weeks, 6 weeks, 3 months, 6 months, 1 year. Long-term if neurological condition present.
Possible Complications
Undercorrection/overcorrection, recurrence (especially if neurological cause), wound healing issues, ankle instability.
Cavus Foot: condition information page
Causes, diagnosis, conservative options and when surgery is considered.
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