Soft tissue release combined with joint-sparing osteotomy for treatment of cavovarus foot deformity in older children: Analysis of 21 cases

Table 1 The Wicart grading system for assessing therapeutic efficacy for cavovarus foot

Grade	Symptoms	Heel axis and Meary’s angle (M°)
Very good	None	Valgus, 0° ≤ M < 15° or neutral/mild varus, 0° ≤ M < 5°
Good	None	Valgus, 15° ≤ M < 20° or neutral, 5° ≤ M < 20° or varus, 5° ≤ M < 15° or -15° ≤ M < 0° (mild overcorrection)
Fair	None	Valgus/neutral, M > 20° or varus, M > 15° or M < -15° (overcorrection)
Poor	Pain/sprains	Recurrence or need for triple arthrodesis