Management of the rigid cavus foot in children and adolescents.
This article reviews historical approaches to the various osteotomies in the treatment of rigid cavus feet in children, with an emphasis on the biplanar nature of historical osteotomies. The Akron dome midfoot osteotomy is performed at the apex of the rigid cavus deformity and allows for maximum correction in any plane, and for varus, valgus, dorsal, plantar, and rotational correction. In that regard, the Akron dome midfoot osteotomy provides the greatest amount of multiplanar correction. It does not, however, provide correction of hindfoot deformities or deformity distal to the neck of the metatarsal.
Department of Pediatric Orthopaedic Surgery, Children's Hospital Medical Center of Akron, 300 Locust Street, Suite 160, Akron, OH 44302, USA. Electronic address: dweiner@chmca.org.
Dennis S
DS
Weiner
Kerwyn
K
Jones
David
D
Jonah
Martin S
MS
Dicintio
D000293:Adolescent; D002648:Child; D005530:Foot Deformities / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods*
Cavus; Midtarsal; Osteotomy; Rigidity; Salvage