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Results for “CLUBFOOT”

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PubMed1990

[Current aspects of treatment for clubfoot in infants and young children].

The congenital club-foot is one of the frequent malformations (incidence around 2%). The treatment during early childhood implies conservative measures with corrective manipulations and casting, surgical procedures with extensive soft tissue releases. The technically demanding medial release is a well established procedure; however it is often not performed because the peritalar malpositions are often underestimated in the young child. After surgical correction stabilization of the foot for prolonged time is important and follow-up is mandatory until adulthood is reached.

Braces↗
PubMed1990

[Surgical treatment of congenital clubfoot in children].

The paper is based on the author's personal experience in the surgical treatment of 438 patients with congenital club foot aged from 9 months to 9 years. Peritalar ligamentocapsulotomy according to the author's method gave good long-term results in 82.64% of the children, satisfactory results in 12.83% and not satisfactory results in 4.53% of the patients. The results were studied within 2 to 20 years after the operation and evaluated according to the clinicoroentgenologic findings. Distinguished among the causes of the recurrences have been violations of the orthopaedic regime, reduction in the function of the extensor muscles and pronators and disturbances in the development of the bones of the medial part of the foot. Dissection of the plantar aponeurosis was not performed in any patient. Dislocation of the tendon attachment area on the foot may be advised for the children threatened by a recurrence of club foot of the anterior part of the foot and in passive complete correction of the foot.

Age Factors↗
PubMedDate not supplied

Role of talocalcaneal osteotomy in clubfoot surgery: results in 31 surgically treated feet.

The most important deformities in clubfeet can be demonstrated by simultaneous arthrography of the talonavicular and talocrural joints. In patients with a severe talar deformity, wedge osteotomy through the talar neck and calcaneus has been performed as a prerequisite for correction. Our series consisted of 20 patients with 31 idiopathic clubfeet with pronounced talar deformity. The mean observation time after osteotomy was 11 years 3 months. The principles and aims are described, as are the indications for talocalcaneal osteotomy. Results were good in 19 feet (60%), fair in six (20%), and poor in six (20%).

Arthrography↗
PubMed1989

[Clinico-radiologic evaluation of deformation of the foot and lower limb in congenital clubfoot].

In a typical form of congenital club foot there is a complex primary and secondary post-loading deformation both of the feet and of all the bones of the lower extremity which by all means should be taken into consideration when correction with apparatuses of perosseous external fixation is carried out for the complete elimination of the congenital malformation and the prevention of a recurrent deformation.

Adolescent↗
PubMedDate not supplied

Correction of idiopathic clubfoot: a comparison of results of early versus delayed posteromedial release.

The clinical and radiographic results of posteromedial release performed on 30 patients (44 feet) were assessed. The patients were divided into three groups based on their average age at the time of operation (early, 4.4 months; middle, 9.1 months; and late, 16.1 months). All patients had similar preoperative deformity, surgical management, and postoperative treatment. The outcomes of all three groups were similar with the exception of hindfoot-to-forefoot alignment and hindfoot varus correction. The early group demonstrated better clinical and radiologic foot alignment and had the lowest incidence of radiologic tarsal deformities (7 vs. 28% in the middle group and 35% in the late group).

Ankle↗
PubMedDate not supplied

Reoperation in treatment of clubfoot.

We evaluated 118 operations (including 57 reoperations) on clubfeet. We concluded that relapse is most often the consequence of insufficient primary surgery, and the less sufficient the intervention, the more severe the relapse or residual deformity. The severity of deformity is determined and shown, first of all, by the position of calcaneum. In milder cases, soft tissue operation can prove useful, whereas more severe cases require bony intervention as well. The second, rarer cause of relapse was the fact that the foot was originally stiff and nonreducible. These feet may need multiple reoperations.

Arthroplasty↗
PubMedDate not supplied

[Problems of development and care of children born with selected congenital malformations: Down's syndrome, cardiopathy, cleft lip and palate, clubfoot].

In connection with the surveillance programme of congenital malformations in Emilia Romagna led by I.M.E.R. Group since 1978 a crosswise survey has been performed on selected malformations: Down's syndrome, cardiac defects, unilateral or bilateral cleft lip and/or palate, unilateral or bilateral club foot. This survey has been useful as a pilot-study for another longitudinal survey which had a place in the programmes of the C.N.R. (National Research Council). By means of a multi-discipline approach we have collected information both of pediatric and of psycho-social character. A total of 187 children with the above named malformations were recorded at birth, 106 boys and 81 girls, aged from 9 months to 4 years. The neonatal diagnosis was confirmed in 84 out 86 cases under study. The rate of infant mortality was particularly high among children with heart defects (39.1%) and Down children (27.4%). The surgical centres where these children were operated upon, through with large variations in connection with the type of malformation, were in Emilia Romagna (49%), outside it (40%), and abroad (10.9%). As for the parental reaction to the birth of babies with congenital malformations, it was of initial rejection 5 cases of Down children, 3 cases of cardiopathy and 1 case of cleft lip and palate. Later the refusal was permanently confirmed only in 2 cases of Down children (who were subsequently adopted). The birth of a malformed baby has affected the relationship between husband and wife contributing to the separation in 3 cases of Down's syndrome and in 1 case of cardiopathy.

Child↗