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Results for “CLUBFOOT”

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At least 343 records · Page 19Linked to original sources
PubMed1983

Retrofibular transfer of tibialis posterior to control residual adduction deformity of clubfoot.

The tibialis posterior muscle was transferred behind the fibula through the peroneal muscles and anchored in the fourth intermetatarsal cleft as an adjuvant step in postero-medial release to control the adduction deformity of the forefoot in clubfeet. The results of this procedure were compared after five years with conventional methods, including postero-medial release alone, in ten identical bilateral clubfeet. The immediate and late correction of the adductus deformity were significantly improved by this additional operation.

Child↗
PubMed1984

[Congenital convex clubfoot: a diagnostic and therapeutic study of 71 cases].

We have studied 71 feet with congenital vertical talus in 51 patients. The condition is characterised by two fixed deformities, equinus of the hindfoot with a vertical talus and dislocation of the mid tarsal joint due to malposition of the navicular with respect to the head of the talus. The forefoot is usually everted, but lay in inversion in 25% of our cases. The deformity must be recognised within a few weeks of birth, and the diagnosis is facilitated by radiographs taken in extreme dorsiflexion and plantarflexion. The radiographic appearances allow classification of the deformity into three groups which aid in the choice of the correct management. Treatment is by operation. We have performed 48 open reductions, followed by lengthening of the Achilles tendon six weeks later. Our results can be equally divided into good, fair and poor. We have excised the talus on three occasions only, but we feel that this operation may well be useful in the presence of marked deformity of the talus, particularly in the older child.

Child, Preschool↗
PubMed1977

[The psychogenic clubfoot. A rare posttraumatic condition (author's transl)].

At the beginning of this century and during World War I psychogenic contractures were very common; later on they became rare.--The author reports and demonstrates 3 cases of psychogenic supination contractures of the foot (functional clubfeet) following a slight trauma of the ankle, the treatment of which was carried out in 1946, 1974 and 1976. All of these patients were women. The deformity of the foot was caused by a permanent contraction of the tibialis-muscles without an underlying organic disease. The therapy consisted of an arthrodesis of the midtarsal joints along with a transfer of the tibialis-anterior-tendon to metatarsus V. In all three cases both deformity and pain disappeared. The quantity and quality of the patients' mobility improved to near normal.--With this article the author intends to remind the orthopedic surgeons and the neurologists of this functional contracture.

Adult↗
PubMed1988

Radiological score in the assessment of clubfoot.

The clinical appearance and the radiographs of 31 patients with 47 clubfeet taken before the start of treatment have been studied. In spite of making a careful clinical evaluation, 14 feet (29.8%) remained "borderline" and could not be definitely classified into the easy or resistant groups. The radiological score of the foot, which is an objective representation of the severity of the deformities at all important levels and in all planes, has been found to be an accurate and sensitive index which enables such a distinction to be made.

Ankle Joint↗
PubMed1999

[Primary treatment of clubfoot].

Our primary club foot therapy consists of a combination of plaster cast manipulation, physiotherapy and surgical correction. The initial plaster cast method of 4 to 6 weeks is followed by a functional mobilisation of the foot. The main aim being the reduction of the malpositioned talus in the ankle mortise. If there is residual deformity surgery is planned after six month. We use the Cincinnati approach with the possibility of the dorsal, medial and lateral release, enabling a correction of the hind-, mid- and forefoot. The main part of postoperative care is seen in the functional rehabilitation of the foot by physiotherapy, in order to achieve a cosmetic foot with good functions. Physiotherapy is advised until the child enters school in order to preserve function and form into adult life. A high frequency of satisfactory results can be expected using this protocol.

Adult↗
PubMed2006

The role of radiographic measurements in the evaluation of congenital clubfoot surgical results.

A series of 50 patients with 71 clubfeet treated surgically was evaluated after exclusion of individuals with associated malformations, syndromes, neurological disorders, previous surgery and age over 30 months at the time of the surgical procedure. They underwent soft-tissue releases that addressed all the components of the deformity, including, when necessary, the calcaneocuboid joint. The age of the patients at the time of the surgery ranged from 6 to 26 months and the mean follow-up period was 77.03 months. The scores resulting from the application of the functional rating system designed by Laaveg and Ponseti were compared with several radiological parameters described in the medical literature to verify the degree of statistical association between these variables. The talo-first metatarsal angle, the calcaneal-second and fifth metatarsal angles were the only radiological measurements that correlated well with the functional score.

Child, Preschool↗
PubMed2004

Correction of relapsed or neglected clubfoot using a simple Ilizarov frame.

We present the results of using a simple Ilizarov fixator frame in treatment of 66 feet in 52 patients (mean age 8.5 years) of 58 relapsed and eight neglected clubfeet with grade III or IV severity with a mean follow-up of 40 (26-58) months. Our frame, in spite of being simple and easy for surgeons and patients to handle, achieved satisfactory correction comparable to the literature.

Adolescent↗