Cavus Foot Reconstruction

Living with a cavus foot deformity can be challenging, especially when it causes pain, instability, or difficulty walking. For those with a very severe deformity, cavus foot reconstruction offers a life-changing solution. 

If you’re looking for expert care, Orthopedic Foot & Ankle Center in Greater Columbus is here to help. Contact us today to schedule a consultation!

Do I Need Surgery?

Visiting an orthopedic surgeon doesn’t mean that surgery is necessary. Our orthopedic doctors always prefer to use non-surgical procedures to treat injuries.

What Our Patients Say

Surgery and recovery going as expected. Staff and scheduling are very accommodating. So far so good 👍.” — Korrina D.

What is Cavus Foot Reconstruction Surgery?

Cavus foot reconstruction is a corrective surgery designed to realign a foot with an excessively high arch. Unlike a normal arch, a cavus foot places excessive weight on the ball and heel of the foot, often causing pain, instability, and difficulty walking. This condition may be caused by neurological disorders, traumatic injury, or congenital issues.

The goal of cavus foot surgery is to restore a more natural arch shape and balance the distribution of weight across the foot. This typically involves a combination of surgical procedures to adjust bones, tendons, and soft tissues in the foot and ankle.

If you have an infection or blood vessel disease, reconstructive surgery may not be suitable for you.

A doctor bandaging a patient’s foot after cavus foot reconstruction in Columbus, Ohio.

Techniques Used to Fix High Arches

The surgical procedures involved to correct a high arch depend on the severity and cause of the deformity. Each technique targets a specific problem area to create a more balanced, functional foot.

Soft Tissue Surgery

Soft tissue procedures address the tight ligaments and tendons that contribute to the foot’s abnormal positioning. Procedures may involve:

  • Achilles Tendon Lengthening: Lengthening the Achilles tendon reduces tension on the heel, allowing the foot to adopt a more natural alignment.
  • Plantar Fascia Release: The plantar fascia, a band of tissue that supports the arch, may be released or lengthened to reduce arch height.
  • Tendon Transfers: Tendon transfers involve moving tendons from one position to another to balance muscle forces. For example, tendons of the lateral ankle muscles may be repositioned to correct an ankle joint deformity.

Bony Surgery (Osteotomy)

Bony surgery involves cutting and repositioning bones in the foot. This is one of the most effective methods to permanently reduce the height of a high arch. Key procedures include:

  • Dorsiflexion Osteotomy of the First Metatarsal: In this procedure, the first metatarsal bone (the long bone behind the big toe) is cut and repositioned to lower the arch. Plates or screws may be used to secure the bone in its new position.
  • Calcaneal Osteotomy: This procedure targets the heel bone (calcaneus) to improve alignment. The heel is cut and shifted into a new position to help distribute body weight more evenly across the foot.

Tendon Surgery

When tendons are tight, overstretched, or pulling the foot into an abnormal position, tendon surgery is necessary. This can include:

  • Tendon Transfers: As mentioned earlier, this process moves tendons from one side of the foot to another to create better balance and stability.
  • Tendon Lengthening: Tight tendons, such as the Achilles tendon, are lengthened to reduce tension and improve range of motion.

Joint Fusion (Arthrodesis)

In cases of very severe deformity, joint fusion (arthrodesis) may be required. This procedure involves fusing two or more bones together to create a stable, immovable structure. While this eliminates motion at the joint, it can create a more balanced and functional foot. Joint fusion is often used when other techniques aren’t sufficient to stabilize the foot.

Toe Surgery

Toe surgery addresses curled, clawed, or malpositioned toes, which often develop as a result of a high arch. The procedure may involve:

  • Straightening the toes by releasing tight soft tissues.
  • Removing small portions of bone (osteotomy) to correct alignment.
  • Stabilizing the toe with pins, screws, or other hardware to maintain the proper position during healing.

What Can You Expect from the Outcome?

Patients who undergo cavus foot surgery often experience significant improvements in pain relief, stability, and foot function. After healing, you may notice:

  • Improved walking ability with a more natural gait
  • Reduced pain in the foot, heel, and ankle
  • Better foot stability, reducing the risk of ankle sprains
  • Enhanced quality of life with improved mobility
 

While it may take several months to fully heal, the long-term results can be life-changing. For many, the benefits far outweigh the challenges of recovery.

Risks of Cavus Foot Surgery

As with any surgical procedure, cavus foot reconstruction carries certain risks. These risks may include:

  • Infection: While rare, infections can occur at the incision site.
  • Nerve Damage: The nerves around the foot are delicate, and injury may cause numbness, tingling, or loss of sensation.
  • Poor Healing: In some cases, bones may not heal properly, requiring additional intervention.
  • Persistent Pain: While pain relief is a primary goal of surgery, some patients may continue to experience discomfort.
 

Fortunately, these risks are minimized by working with experienced surgeons like those at Orthopedic Foot & Ankle Center. Our expertise ensures the highest standard of care and a greater chance of successful recovery.

The Recovery Process

Recovery after cavus foot reconstruction requires patience and commitment, but the long-term benefits make it worthwhile. Here’s what you can expect during the recovery process:

1. Initial Healing (0-6 Weeks)

After surgery, you will likely wear a cast or brace to protect the foot. You will need to avoid putting weight on the foot and use crutches or a knee scooter for mobility. Swelling, bruising, and discomfort are normal during this phase.

2. Intermediate Recovery (6-12 Weeks)

Around six weeks post-surgery, the cast may be removed, and you may transition to a walking boot. Physical therapy typically begins at this stage to restore strength, range of motion, and balance.

3. Long-Term Recovery (3-12 Months)

Full recovery from cavus foot surgery can take approximately 12 months. Over time, you’ll regain the ability to walk, run, and engage in daily activities. Physical therapy is a key part of recovery, helping you rebuild strength and restore function.

Get Expert Care from Orthopedic Foot & Ankle Center

If you’re struggling with the challenges of a cavus foot deformity, expert care is just around the corner. At Orthopedic Foot & Ankle Center in Greater Columbus, our team specializes in advanced reconstructive surgery for foot and ankle conditions. Our skilled surgeons will create a customized treatment plan tailored to your unique needs, helping you achieve lasting relief and a better quality of life.

Take the first step toward a more stable and pain-free future. Contact us today to schedule an appointment! 

Medically reviewed by Sarah Abshier, DPM, CWS

Our Hammertoe Correction Specialists

GREGORY C. BERLET, MD

Board Certified Orthopedic Surgeon

TERRENCE M. PHILBIN, DO

Board Certified Orthopedic Surgeon

CHRISTOPHER F. HYER, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon

PATRICK E. BULL, DO

Board Certified Orthopedic Surgeon

MARK A. PRISSEL, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon

RANDALL C. THOMAS JR., DPM

Board Certified Foot & Ankle Surgeon

COREY J. GRIFFITH, DPM

Board Certified Foot & Ankle Surgeon

JUSTIN R. HUDSON, DPM, CWS

Board Certified Podiatric Surgeon and Wound Specialist

LYNETTE R. MEHL, DPM

Board Certified Podiatric Physician, Clinical Podiatrist

SARAH ABSHIER, DPM, CWS

Clinical Podiatrist, Certified Wound Specialist

ROBERTO A. BRANDÃO, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon
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