Anterior Tarsectomy in Adult Pes Cavus: Case Report

Abstract

Pes cavus defined as a high arch in the sagittal plane, A cavus foot may be a variant of normal, a simple morphological characteristic, seen in healthy individuals. When it is found to be bilateral, it is often from a hereditary or congenital source. This deformity is caused by palsy of the intrinsic foot muscles, usually related to Charcot-Marie-Tooth disease. This pathology is often observed from newborn to teenager, we present rare case report in adult pes cavus with radiological and clinical results, Considerable outcome. Anterior tarsectomy for pes cavus in adults is designed to relieve pain and correct the deformity. Extra-articular surgery is indicated when the response to orthotic treatment is inadequate. Arthrodesis is indicated in severe rigid cavus foot or in degenerative cases. The fixed forefoot deformity is addressed first and a valgising osteotomy should be performed if required. Any bony correction must be in conjunction with a soft-tissue balancing procedure and residual toe deformities are corrected as a final step.