Rapid Communication| Volume 40, ISSUE 3, P166-171, May 2001

Download started.


Treatment of congenital convex pes valgus with navicular excision and subtalar arthroereisis: A case study

      This paper is only available as a PDF. To read, Please Download here.
      This article presents a case study of a 4-year-old female with a delayed diagnosis of congenital convex pes valgus. The severe soft-tissue contractures and osseous abnormalities in this case necessitated excision of the navicular and subtalar arthroereisis in addition to standard soft-tissue releases in order to achieve and maintain adequate reduction. A review of the literature and a discussion of these adjunctive techniques is provided to examine the concepts relevant to treatment of this condition.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The Journal of Foot and Ankle Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Henke R.
        Contributed a l’Etude des Formes Osseuses du Pied Plat Valgus Congenital (Thesis), Lyon. 1914;
        • Colton C.I.
        The surgical management of congenital vertical talus.
        J. Bone Joint Surg. 1974; 55-B: 566-754
        • Hamanishi C.
        Congenital vertical talus: classification with 69 cases and new measurement system.
        J. Pediatr. Orthop. 1984; 4: 318-326
        • Stern H.J.
        • Clark R.D.
        • Straberg A.J.
        • Shohat M.
        Autosomal dominant transmission of isolated congenital vertical talus.
        Clin. Genet. 1989; 36: 427-430
        • Sharrard W.J.W.
        • Grosfield I.
        The management of deformity of the foot in myelomingocele.
        J. Bone Joint Surg. 1968; 50-B: 456-465
        • Seimon L.P.
        Surgical correction of congenital vertical talus under the age of 2 years.
        J. Pediatr. Orthop. 1987; 7: 405-411
        • Dodge L.D.
        • Ashley R.K.
        • Gilbert R.J.
        Treatment of the congenital vertical talus: a retrospective review of 36 feet with long-term follow-up.
        Foot Ankle. 1987; 7: 326
        • Stricker S.J.
        • Rosen E.
        Early one-stage reconstruction of congenital vertical talus.
        Foot Ankle. 1977; 18: 535-543
        • Naponitek M.
        Congenital vertical talus: a retrospective and critical review of 32 feet operated on by peritalar reduction.
        J. Pediatr. Orthop. 1995; 4: 179-187
        • Drennan J.C.
        The pathological anatomy of convex pes valgus.
        J. Bone Joint Surg. 1971; 53-B: 455
        • Duncan R.D.D.
        • Fixen J.A.
        Congenital convex pes valgus.
        J. Bone Joint Surg. 1999; 81-B: 250-254
        • Eyre-Brook A.L.
        Congenital vertical talus.
        J. Bone Joint Surg. 1967; 49-B: 618
        • Wirith T.
        • Schuler P.
        • Griss P.
        Early surgical treatment for congenital vertical talus.
        Arch. Orthop. Trauma Surg. 1994; 113: 248-253
        • Yen C.
        • Huang S.
        Surgical treatment of congenital convex pes valgus.
        J. Formos Med. Assoc. 1997; 96: 424-428
        • Kodros S.A.
        • Dias L.S.
        Single-stage correction of congenital vertical talus.
        J. Pediatr. Orthop. 1999; 19: 42-48
        • Adelaar R.S.
        • Williams R.M.
        • Gould J.S.
        Congenital convex pes valgus: results of an early comprehensive release and a review of congenital vertical talus at Richmond Crippled Children's Hospital and the University of Alabama in Birmingham.
        Foot Ankle. 1980; 1: 62-73
        • Clark M.W.
        • D’Ambrosia R.D.
        • Ferguson A.B.
        Congenital vertical talus: treatment by open reduction and navicular excision.
        J. Bone Joint Surg. 1977; 59-A: 816-824
        • Coleman S.S.
        • Sterling F.H.
        • Jarret J.
        Pathomechanics and treatment of congenital vertical talus.
        Clin. Orthop. 1970; 70: 62-72
        • Chambers E.F.S.
        An operation for the correction of flexible flat feet of adolescents.
        West. J. Surg. 1946; 54: 77-83
        • Viladot A.
        Surgical treatment of the child’s flatfoot.
        Clin. Orthop. 1992; 283: 34-38
        • Vedantam R.
        • Capelli A.M.
        • Schoenecker P.L.
        Subtalar arthro-ereisis for the correction of planovalgus foot in children with neuromuscular disorders.
        J. Pediatr. Orthop. 1998; 18: 294-298
        • Downey M.S.
        Resection of middle facet talocalcaneal coalitions, ch. 1.
        in: Miller S.J. Mahan K.T. Yu G.V. Camasta C.A. Reconstructive Surgery of the Foot and Leg — Update '98. The podiatry Institute Publishing Co., Tucker, GA1998: 1-5