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Results for “CLUBFOOT”

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At least 757 records · Page 42Linked to original sources
PubMed1996

[Treatment of clubfoot].

48 patients (70 club-feet) were reviewed clinically between the age of 4 and 14 years. The primary treatment had been serial plaster casts in the case of 43 feet and additional neonatal tenotomies in 27 feet. Operative treatment after the neonatal period was performed on 53 feet (75%) at a median age of ten months (2-60 months). Surgical procedures were posterior release in 29 and postero-medial release in 24 feet. Further surgery was required in the case of 18 feet. Satisfactory results (excellent and good) were obtained for 42 feet (60%), but fair results for 17 feet (24%) and poor results for 11 feet (16%). The results were significantly better when the release operation was performed before the patient was 2 years of age.

Adolescent↗
PubMed1977

Congenital clubfoot: pathomechanics, Radiographic analysis, and results of surgical treatment.

Twenty-one patients with resistant or relapsed clubfeet, ranged in age from four months to 7 years, and all had initially been treated with plaster by board certified orthopaedic surgeons. Surgery was recommended only after an Achilles tenotomy failed to bring the foot into dorsiflexion after approximately four months of age. Surgical correction was based upon the derotation and dorsiflexion of the talus in the ankle mortise. The criteria for a satisfactory result were: no recurrence of the equinus or varus; neutral position of the heel; dorsiflexion of the ankle to at least neutral; a fairly straight forefoot so that the center line of the foot bisected either the second or third toes or passed no further laterally than the third and fourth toes. Of the 33 feet surgically treated, 28 had satisfactory results following the first procedure, and five required additional procedures.

Achilles Tendon↗
PubMed1996

[Clubfoot].

Explore the source record for details and available documents.

Child↗
PubMedDate not supplied

Onset of ossification of the tarsal bones in congenital clubfoot.

Subjects of this study were 45 patients with 56 idiopathic congenital clubfeet (34 boys with 42 feet and 11 girls with 14 feet) who underwent successful conservative treatment. Radiologic examinations were performed at intervals of 3 months. In anteroposterior radiographs of bilateral feet, the period of appearance of the ossification center was observed for the first, second, and third cuneiform and the tarsal navicular. The ossification of the tarsal bones in the congenital clubfeet occurred later than that in the unaffected feet in boys. The difference between the clubfeet and the unaffected feet was particularly statistically significant for the tarsal navicular and the second cuneiform (p < 0.01). The tarsal naviculars, the first cuneiforms, and the second cuneiforms in clubfeet and in unaffected feet started to be ossified significantly earlier in girls than in boys. Ossification occurred out of order in three of 56 clubfeet and three of 34 unaffected feet.

Age of Onset↗
PubMed1997

A personal revolution in the development of clubfoot correction.

This article presents the author's experience of having worked in London, England, under Denis Browne, whose method of treating equinovarus in the newborn involved manipulation of the baby feet until full correction had been achieved at the very first visit. The feet were then strapped to the sole plates of the Denis Browne splint, which ensured that the baby's normal kicking action maintained mobility at the subtalar joints and also a basic plantigrade posture. When he transferred to India, the author found a large population of children who had been born with talipes equinovarus, but who had never had treatment. He worked at obtaining correction without strong manipulation, using serial plaster casting followed by Denis Browne's splints. His personal reactions to the problems and the merits of the two methods forms the subject of this article.

Casts, Surgical↗
PubMedDate not supplied

Management of clubfoot deformity in amyoplasia.

Forty-one clubfeet in 22 patients with amyoplasia were studied retrospectively at a mean duration after surgery of 118 months (range, 45-253). The clubfeet were managed by a regimen including initial stretching casts, posteromedial release, and postoperative splinting at night. The mean age at the time of surgery was 7.3 months. Correction of deformity without recurrence was achieved in 11 (27%). Recurrent deformity was corrected by serial casting in eight feet and required secondary operative procedures in 20 feet. In the feet without recurrence of deformity, the duration of splinting at night after surgery was significantly longer than in those with recurrence (p < 0.05). At follow-up, 39 (95%) feet were plantigrade and were considered satisfactory. Our findings suggest that most clubfeet in amyoplasia can be effectively corrected by posteromedial release and that the recurrence of deformity can be reduced by splinting at night and often corrected by serial cast treatment.

Abnormalities, Multiple↗
PubMed1998

[Treatment for recurrent clubfoot with the Ilizarov technique].

Jlizarov technique was used to treat 34 recurrent clubfeet in 31 children between 1993 and 1996. No additional surgery was done; various configurations of the distractor were employed. The age at the operation ranged from 2.5 to 14 years (mean 6.7) and mean follow-up was 22 months (range 9-31 months). Twenty-six results were rated good, 4 fair and 4 poor. The authors claim ilizarov method is contraindicated in cerebral palsy and meningomyelocele. The ideal arrangement of the distractor is hinge connection between all rings and semi-rings allowing for simultaneous correction of all components of the deformity.

Adolescent↗
PubMedDate not supplied

Rotatory dorsal subluxation of the navicular: a complication of clubfoot surgery.

One hundred fifty-seven patients with 208 idiopathic clubfeet were operated on by a single surgeon (K.K.) from 1976 through 1987. Retrospective analysis was performed with a mean follow-up of 7.3 years on 126 patients with 168 operated-on feet. Twelve (7.1%) of 168 feet developed dorsal subluxation of the tarsal navicular. Six (6.3%) of 95 patients developed subluxation with the posterior medial incision. Six (8.2%) of 78 patients developed subluxation with the Cincinnati incision. Seven (58%) of these 12 feet required additional surgery. An anatomic model was constructed to demonstrate how rotation of the navicular alone mimics the radiographic appearance of dorsal subluxation of the navicular. The navicular dorsal subluxation is a common complication and is associated with a high rate of additional corrective surgery. We suggest that dorsal subluxation of the navicular should be redefined as a rotatory deformity with the medial border of the navicular rotating superiorly in the coronal plane. Attention to the position and rotation of navicular at the time of internal fixation may prevent this complication.

Adolescent↗