Harrasser N, Lenze F, Hamel J
Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar der TU München, Ismaningerstr. 22, 81675, München, Deutschland.
ECOM® Excellent Center of Medicine, Arabellastr. 17, 81925, München, Deutschland.
Orthopade. 2021 Jan;50(1):75-85. doi: 10.1007/s00132-020-04053-w.
The cavovarus foot (CF) is a complex three-dimensional foot deformity. In addition to primary forms, secondary forms can be distinguished. The diagnosis of CF is made clinically; however, anamnestic information, a targeted examination including neurological status and at least radiological imaging using the hindfoot-centered imaging technique are required to determine the treatment. Conservative treatment for CF consists of the provision of insoles up to the adaptation of an orthopedic custom-made shoe, depending on the severity of the deformity. The indications for a surgical procedure are present in the case of increasing complaints, although the timing should be extensively discussed with the patient in order to be able to achieve the best functional results. Surgical treatment is generally complex but a combination of soft tissue interventions and osteotomy/arthrodesis can usually be used to achieve a plantigrade foot position and thereby enable the patient to walk with a functionally improved gait.
高弓足（CF）是一种复杂的三维足部畸形。除了原发性形式外，还可区分继发性形式。CF的诊断基于临床；然而，需要既往病史信息、包括神经状况的针对性检查以及至少采用以足跟为中心的成像技术进行放射学成像，以确定治疗方案。CF的保守治疗包括根据畸形的严重程度提供鞋垫，直至适配定制的矫形鞋。在症状加重的情况下，存在手术治疗的指征，尽管应与患者广泛讨论手术时机，以便能够获得最佳的功能结果。手术治疗通常较为复杂，但软组织干预与截骨术/关节融合术相结合通常可用于实现足放平位，从而使患者能够以功能改善的步态行走。
