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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia Del Piede 2001 March;25(1):53-72
Metatarsalgia in cavus foot. Personal surgical experience
Paoni Saccone S., De Carolis A.
After a short introduction, the authors report their experience in the surgical treatment of metatarsalgia in cavus foot using the technique of osteotomy of the metatarsal bases associated with early loading. They illustrate the reasons for preferring this surgical technique compared to others which is used in adult metatarsalgic anterior cavus foot. They describe the various stages of the technique whose main features include osteotomy of the base of the first metatarsal bone in the internal anterior cavus foot and all the metatarsal bones in the direct anterior cavus foot. This is often associated with simple plantar fasciotomy in which early loading ensures that the metatarsal bones find the right inclination. The authors report the cases treated over the past decade, consisting of 24 operations; they describe the results obtained and their clinical evaluation based on pain, plantar callosity and plantar imprint. They report a number of cases operated using the surgical technique described above. Lastly, they list the advantages and disadvantages of this technique: the former include early loading, the natural correction of metatarsal talipes equinus and the avoidance of plaster casts. The disadvantages can be summed up as post-operative pain on loading and the need to resort to redo surgery to correct metatarsal alignment defects.