TOTBİD Dergisi

TOTBİD Dergisi

2015, Cilt 14, Sayı, 3     (Sayfalar: 198-202)

Achilles tendon release and tibialis anterior tendon transfer after primary casting in the treatment of congenital clubfoot

Bartu Sarısözen 1

1 Uludağ Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Bursa

DOI: 10.14292/totbid.dergisi.2015.32
Görüntüleme: 1360
İndirme : 984

In the treatment of congenital clubfoot with Ponseti method, majority of secondary procedures which is used for relapses or residual deformities are composed of Achilles tendon release and tibialis anterior tendon transfer.

Equinus deformity caused by contracture or shortness of gastrocsoleus muscle-tendon complex is the most troublesome pathology of the early treatment period or subsequent follow-up that developes frequent complications and necessitates further treatment. The second most common problem encountered after the primary casting is the dynamic forefoot supination deformity. Equinus and forefoot supination may be isolated or co-existant. In both cases, delaying the treatment of these deformities leads to additional structural changes and then turns to a complex foot deformity which is more difficult to correct. Treatment of congenital clubfoot almost always starts with Ponseti casting, and recasting is the primary choice of treatment when deformity relapses. Nevertheless, if these deformities do not improve with casting, surgery should not be delayed.

Anahtar Kelimeler : clubfoot; congenital defects; talipes equinovarus; equinus deformity; tendon transfer; tibialis anterior tendon; children