Ballenhohlfuß

Harrasser, Norbert; Lenze, Florian; Hämel, J.

doi:10.1007/s00132-020-04053-w

Cited by 4 publications

(9 citation statements)

References 25 publications

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“…The medial side of the foot was suspended in the air, the lateral side was placed on a 2.5 cm wooden block, and the anterolateral x-ray film of the foot was taken. The alignment of the forefoot was restored to normal, and the deformity of the cavovarus was corrected, proving that only soft tissue could be performed (20,21). If the alignment of the front foot does not return to normal, osteotomy of the front foot should be performed.…”

Section: Evaluation Of Foot Flexibilitymentioning

confidence: 98%

“…However, Mosca et al ( 21 ) advocated using the I–III cuneiform metatarsal wedge osteotomy rather than the first metatarsal osteotomy because the wedge osteotomy was closer to the apex of the deformity. Wicart & Seringe ( 22 ) used the same surgical method as Mosca to treat 26 children with neurogenic high-arch foot deformity, followed up for 6.9 years, and achieved good results.…”

Section: Treatment Of Cavovarusmentioning

confidence: 99%

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Current advancements in diagnosing and managing cavovarus foot in paediatric patients

Arthur Vithran,

Liu,

et al. 2024

EFORT Open Reviews

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The cavovarus deformity is a pathological condition characterised by an anomalous elevation of the longitudinal arch. This condition results from a significant hindfoot varus and forefoot equinus deformity. This phenomenon comprises diverse anomalies and therapies and exhibits a prevalence of 25% within the populace. A thorough clinical evaluation is required to identify deformities in the cavovarus foot. Weight-bearing radiographs play a crucial role in identifying the apex of deformity and quantifying the required extent of correction. Cavus feet are frequently linked with neurological conditions affecting sensory and motor nerves. Identifying the optimal treatment for individual patients necessitates the performance of clinical and radiographic evaluations. Inaccurate diagnosis of a neurological disorder can lead to inappropriate surgical intervention, relapse, and inadequate reconstruction. When faced with progressive anomalies, it is crucial to implement a phased surgical protocol promptly to avoid exacerbating malalignment. Various surgical procedures have been recorded, including soft tissue releases, tendon transfers, osteotomies, and arthrodesis, which are selected based on the nature and extent of the deformity assessment findings, with the ultimate goal of reaching a foot that is both plantigrade and balanced. Due to a lack of research on this topic, the present review aims to furnish the most recent literature update on the manifestation, imaging evaluation, and optimal therapeutic interventions currently accessible for individuals afflicted with cavovarus deformities and to assist healthcare providers in selecting the most suitable therapy for paediatric patients with this condition in their routine clinical practice.

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Section: Evaluation Of Foot Flexibilitymentioning

confidence: 98%

Section: Treatment Of Cavovarusmentioning

confidence: 99%

Current advancements in diagnosing and managing cavovarus foot in paediatric patients

Arthur Vithran,

Liu,

et al. 2024

EFORT Open Reviews

View full text Add to dashboard Cite

show abstract

“…The medial side of the foot was suspended in the air, the lateral side was placed on a 2.5cm wooden block, and the anterolateral X-ray film of the foot was taken. The alignment of the forefoot was restored to normal, and the deformity of the cavovarus was corrected, proving that only soft tissue could be performed [5,6]. If the alignment of the front foot does not return to normal, osteotomy of the front foot should be performed.…”

Section: Evaluation Of Foot Flexibilitymentioning

confidence: 98%

“…However, the efficacy after tendon transposition is difficult to predict and requires careful preoperative evaluation by the surgeon.Transfer of the fibula longus to the brevis is usually performed in conjunction with the surgical procedure.It eliminates plantar flexion of the peroneus longus near the first metatarsal, strengthens the valgus of the peroneus Breus, and indirectly improves the function of the tibialis anterior. [6] In children with CMT, the strength of the tibialis anterior dorsalis extension of the ankle joint is weak.Therefore, the relative strength of the tibialis posterior muscle is too strong, resulting in varus deformity of the hind foot.In this case, partial transfer of the posterior tibialis tendon to the anterior tibialis tendon helps the patient realize the ankle better. It also helps to correct the posterior varus deformity indirectly.…”

Section: Of 16mentioning

confidence: 99%

Comparison of Medium-Term Efficacy of Japas Osteotomy and First Metatarsal Osteotomy in the Treatment of Children With Ca-Vovarus Deformity

Vithran¹

2023

Preprint

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Background: To compare the clinical efficacy of Japas osteotomy of the middle foot and first metatarsal sequence osteotomy in treating children with cavovarus foot deformity. Methods: A retrospective analysis was performed on the clinical effect of cavovarus foot surgery from January 2012 to January 2019. Thirty light and medium cavovarus foot cases underwent osteotomy based on soft tissue release. Among them, 16 cases of 22 feet underwent first metatarsal sequence osteotomy, and 14 cases of 21 feet underwent middle foot Japas osteotomy. Ankle-posterior foot (Wicart) scoring system was used to evaluate the good and good rates of the two surgical methods. X-ray films were taken before and after the last follow-up in a standing weight-bearing position, and Meary Angle, Hibb Angle, and Pitch Angle were measured to compare the clinical efficacy of the two surgical methods in correcting the light and medium-cavovarus foot deformity.Results: (1) All patients were followed up for an average of 30 months. There was no significant difference in Meary, Hibb, and Pitch Angle between first metatarsal osteotomy and middle foot Japas osteotomy before surgery, indicating that the severity of malformation was similar between the two groups. (2) The Meary, Hibb, and Pitch Angle of the last follow-up were compared between the two groups (P>0.05), which showed no statistical significance, indicating that the two surgical methods had similar effects on cavovarus deformity correction. (3) At the most recent follow-up, there was no statistically significant difference between the two groups regarding the percentage of patients who achieved an excellent or good Wicart score; for the first metatarsal osteotomy group, the rate was 87%, and for the Japas osteotomy group was 90%; the Fisher test p>0.05 indicates that the postoperative excellent and good rates of the two treatments are comparable.II (4) Comparison of operation time and intraoperative blood loss between the two groups, P<0.05, showed statistically significant differences, indicating that the first metatarsal osteotomy had obvious advantages over Japas osteotomy operation time and intraoperative blood loss. Conclusions: There is no significant difference in postoperative efficacy between first metatarsal osteotomy and Japas osteotomy for light and medium-cavovarus with the apex of the deformity located at the medial cuneus or navicular cuneiform joint. However, the intraoperative blood loss and operative time of first metatarsal osteotomy are superior to Japas osteotomy of the middle foot, and the trauma to children is less. Therefore, the first metatarsal osteotomy can be considered a surgical procedure.

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“…However, Mosca et al [21] advocated using the I-III cuneiform metatarsal wedge osteotomy rather than the first metatarsal osteotomy because the wedge osteotomy was closer to the apex of the deformity. Wicart et al [22] used the same surgical method as Mosca to treat 26 children with neurogenic hyper arches foot deformity, followed up for 6.9 years, and achieved good results.…”

Section: First Metatarsal Osteotomymentioning

confidence: 99%

Advancements in Pediatric Cavovarus Foot Therapy

Vithran¹

2023

Preprint

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The cavovarus deformity is characterized by a pathologic longitudinal arch elevation caused by a severe hindfoot varus and forefoot equinus deformity. This disorder includes multiple anomalies and therapies and affects 25% of the population. Cavus feet usually indicate neurologic illness, which affects sensory and motor nerves. Clinical and radiological evaluations are needed to establish each patient's optimum therapy. Failure to identify a neurologic illness may lead to inappropriate surgical treatment, recurrence, and reconstructive failure. In progressive anomalies, surgical procedures must be performed quickly in a phased protocol to prevent the malalignment from worsening. Soft tissue surgeries, osteotomies, and arthrodesis are surgical options for patients. To aid and lead practitioners in selecting the most appropriate therapy for their patients daily, we have included the most common therapeutic options currently available in this article.

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Ballenhohlfuß

Cited by 4 publications

References 25 publications

Current advancements in diagnosing and managing cavovarus foot in paediatric patients

Current advancements in diagnosing and managing cavovarus foot in paediatric patients

Comparison of Medium-Term Efficacy of Japas Osteotomy and First Metatarsal Osteotomy in the Treatment of Children With Ca-Vovarus Deformity

Advancements in Pediatric Cavovarus Foot Therapy

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