Cavovarus Foot Deformity

Cavovarus foot deformity is a structural abnormality in which the foot is turned inward with a higher-than-normal medial arch (hindfoot supination + forefoot adduction). It usually develops due to neuromuscular diseases (e.g. Charcot-Marie-Tooth disease, arthrogryposis) and is recognized in childhood.

As this deformity progresses:

• Excessive load on the outer edge of the foot
• Ankle sprains become more frequent
• Balance disturbance and painful walking occur

In the early period, the foot can be supported with orthopedic shoes and orthoses. However, surgical treatment becomes inevitable in progressive cases.
Surgical options include

• Tendon transfers (ensuring dynamic balance)
• Bony correction surgeries (osteotomies)
• Arthrodesis

The aim of treatment is a painless step, a balanced gait and stopping the progressive deformity.