Samilson R L, Dillin W
Clin Orthop Relat Res. 1983 Jul-Aug(177):125-32.
Cavus, cavovarus, and calcaneocavus deformities are often related to neuromuscular disorders that result in intrinsic and/or extrinsic muscle imbalance in the foot. A careful search for intraspinal causes should be made, particularly in progressive cavus deformity in children. Plantar release is the most common procedure performed for correction of cavus feet and its variants. The choice among available surgical procedures is dictated by the age of the patient, the flexibility and cause of the deformity, an analysis of the deformity, and appropriate standing roentgenograms. Soft tissue procedures, including plantar fasciotomy and tendon transfers, are usually done in younger patients. Bony procedures, including calcaneal, midtarsal, and forefoot osteotomies, are performed in mature feet and are tailored to the apex of the deformity. Triple arthrodesis is a salvage operation for correcting cavus and its variants.
高弓足、高弓内翻足和跟骨高弓足畸形通常与神经肌肉疾病相关，这些疾病会导致足部内在和/或外在肌肉失衡。应仔细查找脊柱内病因，尤其是儿童进行性高弓足畸形。跖侧松解是矫正高弓足及其变体最常用的手术方法。可用手术方法的选择取决于患者年龄、畸形的柔韧性和病因、畸形分析以及合适的站立位X线片。软组织手术，包括跖筋膜切开术和肌腱转移术，通常用于较年轻的患者。骨性手术，包括跟骨、中跗骨和前足截骨术，适用于成熟足，且根据畸形顶点进行调整。三关节融合术是矫正高弓足及其变体的挽救性手术。
