title: The Failed Cavovarus Foot: What Went Wrong and Why?
abstract: The adult cavovarus foot exists on a spectrum and, therefore, requires a thorough evaluation to determine the extent of the deformity and then choose from a multitude of surgical procedures to achieve correction. Regardless of the severity of the deformity, treatment should include an algorithmic approach to adequately achieve a stable, balanced, and plantigrade foot. To prevent failure, the surgeon should evaluate whether the deformity is flexible or rigid, determine the location of the apex or apices of the deformity, evaluate any muscle imbalances occurring about the foot and ankle, and determine the need for additional procedures. A failure to consider these principles and, subsequently, the extent of the deformity often results in recurrence and progression of the deformity.
authors.affiliation: Orthopaedic Surgery Foot and Ankle Fellow, Institute for Foot & Ankle Reconstruction, Mercy Medical Center, Baltimore, Maryland.
authors.forename: Jonathan R M
authors.initials: JR
authors.lastname: Kaplan
authors.forename: Mark S
authors.initials: MS
authors.lastname: Myerson
mesh_terms: D000328:Adult; D004185:Disability Evaluation; D005530:Foot Deformities / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods; D018579:Patient Selection; D004856:Postural Balance / Q000502:physiology; D012008:Recurrence; D055502:Secondary Prevention; D012720:Severity of Illness Index; D016896:Treatment Outcome