Procedure
Cavovarus Foot Correction
For Cavovarus Foot
What It Involves
Surgical correction of a cavovarus foot is a tailored reconstruction — there is no single standard operation. Instead, a combination of techniques is selected to correct each component of the deformity present in your foot: the elevated arch, the inward-tilted heel, any muscle imbalance driving the deformity, and any associated ankle instability. Each component needs to be addressed for the correction to hold.
Common components include tibialis anterior or posterior tendon transfer to rebalance the muscle forces driving the deformity, a calcaneal slide osteotomy to correct hindfoot varus, a first metatarsal dorsiflexion osteotomy to correct the high arch, and occasionally correction of clawed toes. Lateral ligament reconstruction is added only where chronic ankle instability coexists, and a triple arthrodesis is reserved for late-stage, rigid deformity. Dr Hogan will explain precisely which combination of these steps is planned for your foot.
Recovery Timeline
Everyone heals at a different rate — this timeline is a guide.
Weeks 1–2
Non-weight-bearing in a cast or boot, with strict foot elevation. The wound is checked and sutures removed at 2 weeks.
Weeks 2–6
Continued non-weight-bearing, with elevation. Sedentary work is possible from approximately 4–6 weeks if the foot can be elevated.
Weeks 6–12
If the X-ray is satisfactory, graduated weight-bearing in the boot commences, transitioning into supportive footwear with an orthotic from around 10–12 weeks, with physiotherapy for gait rehabilitation and strengthening. Roles requiring prolonged standing or walking typically need 3–4 months off.
3 months
Most patients are walking comfortably and low-impact activities resume.
6–12 months
As this is a major reconstruction, full recovery — including return to higher-demand activities — takes 6–12 months minimum, with a final review and discharge once recovery is complete.