Correcting Residual Deformity Following Clubfoot Releases

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Predictive factors for residual equinovarus deformity following Ponseti treatment and percutaneous Achilles tenotomy for idiopathic clubfoot

BACKGROUND AND PURPOSE There is no consensus on how to predict residual equinovarus deformities after application of the Ponseti method. We assessed the prognostic value of clinical scoring systems, and also radiographic parameters that can be measured just before percutaneous Achilles tenotomy (PAT). METHOD We reviewed 50 cases of clubfoot in 35 patients who were treated using the Ponseti me...

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Conservative Treatment in Clubfoot Deformity

Treatment of the congenital clubfoot (CCF) starts its development in the early 20 century and is still continuing today. Surgical techniques provide functional and radiographic data, but the subsequent later data of poor function and recurrence of deformity gave grounds the overall therapeutic process to be reconsidered in the middle of the last century. There are two methods that are generally...

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Selective soft-tissue release for recurrent or residual deformity after conservative treatment of idiopathic clubfoot.

We reviewed the results of a selective à la carte soft-tissue release operation for recurrent or residual deformity after initial conservative treatment for idiopathic clubfoot by the Ponseti method. Recurrent or residual deformity occurred in 13 (19 feet) of 33 patients (48 feet; 40%). The mean age at surgery was 2.3 years (1.3 to 4) and the mean follow-up was 3.6 years (2 to 5.3). The mean Pi...

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Hallux Flexus: Sequela of Residual Clubfoot

A dorsal bunion, also known as hallux flexus, is a deformity where the 1st metatarsal is in a dorsiflexed position and the proximal phalanx of the hallux is in a plantarflexed position usually articulating with the plantar aspect of the 1st metatarsal head. Multiple etiologies exist for this condition; the one most evaluated has been the occurrence of hallux flexus following clubfoot surgery. T...

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Differential distraction for relapsed clubfoot deformity in children.

PURPOSE To evaluate the long-term outcome of clubfoot correction following differential distraction using the Joshi external stabilisation system (JESS). METHODS 13 male and 9 female patients aged 1.5 to 5 years with 28 idiopathic clubfeet underwent differential distraction using JESS for relapsed deformity after posteromedial soft-tissue release. They were available for review after a mean o...

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ژورنال

عنوان ژورنال: Clinical Orthopaedics & Related Research

سال: 2009

ISSN: 0009-921X

DOI: 10.1007/s11999-008-0664-y