Correction of neglected or relapsed clubfoot deformity in an older child by single-stage procedure: early results
نویسندگان
چکیده
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, plantar fasciotomy, and closing wedge osteotomy. The aim of the study was to evaluate the outcome of this single-staged procedure.
منابع مشابه
Functional Results after Surgical Correction of Neglected and Relapsed Clubfeet
Introduction: Clubfoot is a common congenital deformity. Neglected clubfeet are not uncommon in the developing world where many children are brought late for initiation of treatment. The response to conservative treatment may not be adequate so as to achieve correction of deformity in all cases. Hence, some of these cases may require surgical treatment for correction of deformity. International...
متن کاملTreatment 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 کاملThe Results of Posteromedial Release (Turco Method) for the Treatment of Congenital Clubfoot in Children between 6 Months to Five Years Old
In this prospective study 37 children (65 feet) between 6 months and 5 years old have been chosen. In 75% of cases the disease was bilateral, 23 patients were male and 14 female. There was not family history of congenital clubfoot in any case. The mean age of surgery was 20.3 months (6-56 months). All patients underwent PMR (Turco method) with two consequent corrective casts under general anest...
متن کاملThe correction of the relapsed club foot by closed distraction
Correction of a relapsed clubfoot deformity by distraction with an external fixator is a recognized alternative to open surgery. Most published series report a good outcome but none are prospective observational studies using the scoring system of the International Clubfoot Study Group (ICFSG). We present a series of 9 relapsed club feet treated with closed gradual distraction using this scorin...
متن کاملEarly results of the Ponseti method for the treatment of clubfoot in distal arthrogryposis.
BACKGROUND Clubfoot occurs in approximately one in 1000 live births and is one of the most common congenital birth defects. Although there have been several reports of successful treatment of idiopathic clubfoot with the Ponseti method, the use of this method for the treatment of other forms of clubfoot has not been reported. The purpose of the present study was to evaluate the early results of...
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