Two-stage corrective operation for the treatment of pes cavovarus in patients with spina bifida

Figure 1 Preoperative lateral and anteroposterior radiographs showing Meary’s angle, anteroposterior talo-first metatarsal angle, and talonavicular coverage. A: Meary’s angle (lateral talus-first metatarsal angle); B: Anteroposterior talo-first metatarsal angle; C: Talonavicular coverage.

Figure 2 Lateral, and anteroposterior radiographs obtained after first stage radical plantar fascia release demonstrating improvement in Meary’s angle, anteroposterior talo-first metatarsal angle angle, and talonavicular coverage. A: Meary’s angle (lateral talus-first metatarsal angle); B: Anteroposterior talo-first metatarsal angle; C: Talonavicular coverage.

Figure 3 Postoperative lateral and anteroposterior radiographs obtained after second-stage cuneiform osteotomy demonstrating further improvement in Meary’s angle, anteroposterior talo-first metatarsal angle angle, and talonavicular coverage. A: Meary’s angle (lateral talus-first metatarsal angle); B: Anteroposterior talo-first metatarsal angle; C: Talonavicular coverage.