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Selective soft-tissue release for recurrent or residual deformity after conservative treatment of idiopathic clubfoot
- Source :
- The Journal of bone and joint surgery. British volume. 91(11)
- Publication Year :
- 2009
-
Abstract
- We reviewed the results of a selective à la carte soft-tissue release operation for recurrent or residual deformity after initial conservative treatment for idiopathic clubfoot by the Ponseti method. Recurrent or residual deformity occurred in 13 (19 feet) of 33 patients (48 feet; 40%). The mean age at surgery was 2.3 years (1.3 to 4) and the mean follow-up was 3.6 years (2 to 5.3). The mean Pirani score had improved from 2.8 to 1.1 points, and the clinical and radiological results were satisfactory in all patients. However, six of the 13 patients (9 of 19 feet) had required further surgery in the form of tibial derotation osteotomy, split anterior tibialis tendon transfer, split posterior tibialis transfer or a combination of these for recurrent deformity. We concluded that selective soft-tissue release can provide satisfactory early results after failure of initial treatment of clubfoot by the Ponseti method, but long-term follow-up to skeletal maturity will be necessary.
- Subjects :
- Reoperation
medicine.medical_specialty
Clubfoot
medicine.medical_treatment
Tendon Transfer
Osteotomy
Achilles Tendon
Tendons
Tendon transfer
Recurrence
medicine
Deformity
Humans
Orthopedics and Sports Medicine
Treatment Failure
Retrospective Studies
Braces
business.industry
Soft tissue
Infant
Retrospective cohort study
medicine.disease
Ponseti method
Surgery
Treatment Outcome
Child, Preschool
Orthopedic surgery
Female
medicine.symptom
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 20445377
- Volume :
- 91
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- The Journal of bone and joint surgery. British volume
- Accession number :
- edsair.doi.dedup.....a62c8697291132d51190c4167cb4b740