TOTBİD Dergisi

TOTBİD Dergisi

2015, Cilt 14, Sayı, 3     (Sayfalar: 220-225)

Bone procedures for residual or recurrent deformities in patients with treated congenital clubfoot

Nusret Köse 1

1 Eskişehir Osmangazi Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Eskişehir

DOI: 10.14292/totbid.dergisi.2015.36
Görüntüleme: 409
İndirme : 276

Equinovarus deformity may remain or may recur following casting and/or a variety of minimal or extensive surgeries. Repeated casting should be the initial management for the recurrent clubfoot in the young. Otherwise, age, etiology, physical examination, and radiographic examination are used in combination to assess and treat residual or recurrent deformity. Each foot must be considered a unique problem with an individual treatment history and remaining deformities. Kose et al. reported transverse midtarsal osteotomies performed through all three cuneiforms and cuboid to correct forefoot varus and equinus. A wedge from the lateral column was removed and placed into the medial column to correct varus and adjust the length. This technique do not affect the residual hindfoot deformity, but forefoot adductus, midfoot supination, and cavus were corrected in all patients. Since the procedure crosses joints, the possibility of future arthrosis exists. Patients should be older than 4 years to allow for better bone healing.

Anahtar Kelimeler : clubfoot; foot deformities, congenital; residual deformity; orthopedic surgery