patient has had triple arthrodesis and a varus pes cavus foot

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Hi

I have a patient who has had a triple arthrodesis 8 Years ago . He has a varus pes cavus foot and experiences discomfort on the plantar aspect of the fifth metatarsal. I have been asked by the orthropod to do custom orthoses and I'm thinking of a med density Eva shell with a poron full length cover. any advice?

Thanks

 

These are normally pretty straight forward; EVA fine; probably just reduce the thickness under the painful area.

 

many thanks

 

A subtler joint fused in various will tend to have high loads on lateral foot. Yes, thin the device under the painful area. You could also add a forefoot versus wedge. Experiment with the thickness of the wedge.