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Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507872/ https://www.ncbi.nlm.nih.gov/pubmed/34639388 http://dx.doi.org/10.3390/ijerph181910089 |
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author | Astolfi, Rodrigo Schroll de Vasconcelos Coelho, José Victor Ribeiro, Henrique César Temóteo dos Santos, Alexandre Leme Godoy Leite, José A. Dias |
author_facet | Astolfi, Rodrigo Schroll de Vasconcelos Coelho, José Victor Ribeiro, Henrique César Temóteo dos Santos, Alexandre Leme Godoy Leite, José A. Dias |
author_sort | Astolfi, Rodrigo Schroll |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8507872 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-85078722021-10-13 Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series Astolfi, Rodrigo Schroll de Vasconcelos Coelho, José Victor Ribeiro, Henrique César Temóteo dos Santos, Alexandre Leme Godoy Leite, José A. Dias Int J Environ Res Public Health Case Report 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. MDPI 2021-09-25 /pmc/articles/PMC8507872/ /pubmed/34639388 http://dx.doi.org/10.3390/ijerph181910089 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Astolfi, Rodrigo Schroll de Vasconcelos Coelho, José Victor Ribeiro, Henrique César Temóteo dos Santos, Alexandre Leme Godoy Leite, José A. Dias Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series |
title | Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series |
title_full | Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series |
title_fullStr | Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series |
title_full_unstemmed | Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series |
title_short | Cavus Foot Correction Using a Full Percutaneous Procedure: A Case Series |
title_sort | cavus foot correction using a full percutaneous procedure: a case series |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507872/ https://www.ncbi.nlm.nih.gov/pubmed/34639388 http://dx.doi.org/10.3390/ijerph181910089 |
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