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Cavovarus Deformity Surgery

The term “cavovarus” refers to a foot with an arch that is higher than normal, and that turns in at the heel. This is a deformity that tends to worsen gradually over time. Depending on the age of the patient and the degree of deformity and stiffness, treatment options may range from supportive care with bracing, to surgical treatment for soft tissue releases, tendon transfers, and possibly reshaping or fusion of the bones and joints.

Cavovarus Deformity FAQ

What Causes Cavovarus Deformity?

Cavovarus foot deformity is often caused by weakness in the peroneal muscles and, in some cases, the small muscles in the foot. These imbalances contribute to the abnormal shape and function of the foot.

What Are the Symptoms of Cavovarus Deformity?

Symptoms of cavovarus deformity may worsen as the condition progresses. Common symptoms include:

  • Increasing pain at the ankle due to recurrent sprains
  • Painful calluses at the side of the foot or base of the toes
  • Difficulty with shoe wear

What Are the Treatment Options for Cavovarus Deformity?

Nonsurgical Treatment

Treatment depends on the severity of the condition and any associated pain. In mild cases, nonsurgical options include:

Surgical Treatment

Surgery may be recommended in severe cases, particularly if pain persists or the arch continues to increase. Surgical options can include:

  • Releasing contracted soft tissues
  • Performing tendon transfers to rebalance the foot
  • Conducting osteotomies to reshape the foot
  • Fusing joints to realign and stabilize the foot in a corrected position