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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...

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Autores principales: Astolfi, Rodrigo Schroll, de Vasconcelos Coelho, José Victor, Ribeiro, Henrique César Temóteo, dos Santos, Alexandre Leme Godoy, Leite, José A. Dias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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