Back ground: Cavusfoot is a complex deformity with an abnormally high arch. It is the result of the problem, and is itself the problem. It needs complete evaluation, classification, and management. The aim of this study to evaluate the new advances in the surgical treatment of adult idiopathic cavus foot.
Material and Method: Twenty nine patients with thirty eight idiopathic cavus feet were
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groups:- group A received surgical management including soft tissue release and anterior tarsal wedge osteotomy, group B received surgical management including soft tissue release and triple arthrodesis.
Results: The assessment of the results showed that there were significant improvement in all parameters in both groups and satisfactory results were considered obtained in
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Conclusion: Cavus foot is not alike. Surgical management must be individualized based on the age of patient, flexibility or rigidity of the deformity. I believe that correction of the deformities begins with soft tissue release. The anterior tarsal osteotomy is the best choice for cavus foot with correctable heel in young adult, and triple arthrodesis should be reserved as a salvage procedure for severe , rigid, combined deformity in older patients.