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Cavovarus reconstruction is often taught as a series of procedures — calcaneal osteotomy, tendon transfers, first metatarsal dorsiflexion osteotomy, and occasionally midfoot procedures. But it may be more useful to think about the problem from a biomechanical perspective first. The goal of surgery is to restore hindfoot alignment and reduce the talonavicular joint, which re-establishes the normal relationship between the rearfoot and midfoot. Once that occurs, the true residual forefoot deformit
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