The Neglected Clubfoot
نویسنده
چکیده
The neglected clubfoot deformity is a major disabler of children and adults in developing nations. The bones and joints of the foot deform into fixed equinus, adductus, cavus, and supination as patients walk on the side or dorsum of the foot. There is severe obliquity of the calcaneocuboid joint, which must be corrected in most cases. An algorithmic surgical approach, using peritalar soft tissue release and selected midfoot osteotomies, corrects most deformities. In severe cases, a specific form of modified Lambrinudi triple arthrodesis is required, excising large bone wedges from the anterior process of the calcaneus. The Ponseti method of serial casting is proving applicable to developing countries in reducing the burden of disability. In developing nations, combining surgical outreach with existing community-based rehabilitation programs will improve outcomes.
منابع مشابه
Treatment of Neglected Clubfoot
The Neglected clubfoot deformity is a major disability for children and adults in low income countries. The bones and joints of the foot deform into fixed equines, adducts, cavus, and supination as the patient walk on the side or dorsum of the foot. The Orthopaedic literature on clubfoot deformity focuses on early intervention in a resource-rich environment, with numerous surgical options outli...
متن کاملGood results after Ponseti treatment for neglected congenital clubfoot in Ethiopia
BACKGROUND AND PURPOSE Neglected clubfoot deformity is a major cause of disability in low-income countries. Most children with clubfoot have little access to treatment in these countries, and they are often inadequately treated. We evaluated the effectiveness of Ponseti's technique in neglected clubfoot in children in a rural setting in Ethiopia. PATIENTS AND METHODS A prospective study was c...
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AIM To evaluate the effectiveness of the Ponseti method for initial correction of neglected clubfoot cases in multiple centers throughout Nigeria. METHODS Patient charts were reviewed through the International Clubfoot Registry for 12 different Ponseti clubfoot treatment centers and 328 clubfeet (225 patients) met inclusion criteria. All patients were treated by the method described by Ponset...
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Background Treatment of neglected or relapsed clubfeet in older children is a challenging task. Particularly in developing countries, limited resources and difficulties in getting frequent follow-ups make selection of appropriate surgical procedures more difficult. These difficulties led to the evolution of a new single-stage surgicalprocedure consisting of percutaneous Achilles tenotomy, plant...
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The definition of neglected clubfoot (NC) includes a variable range of complex deformities of the foot that are refractory to conventional treatments or are treated inappropriately. Several etiologies may be related to this. The Ilizarov method has become established as a tool for treating these deformities. It minimizes soft-tissue damage through gradual correction of the deformity, with a hig...
متن کاملRole of Joshi's external stabilisation system fixator in the management of idiopathic clubfoot.
PURPOSE To explore the role of Joshi's external stabilisation system fixator in correcting cases of clubfoot peculiar to India, we studied cases of neglected clubfoot, dropout cases of plaster-of-paris cast treatment, or failed surgical procedures that had been followed for a minimum period of 2 years. METHODS 26 children underwent 44 Joshi's external stabilisation system procedures at the Ce...
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