Summary
The results of surgical treatment of neglected club-foot in patients aged between 8 and 28 years are reported. Extensive soft tissue release together with dorso-lateral wedge resection in patients aged between 8 and 11 years and triple arthrodesis after the age of 11 years gave a high proportion of results that were satisfactory to the patient and the surgeon. Surgical correction of severely deformed and neglected club-feet in adults is advocated to achieve plantigrade, painless and cosmetically acceptable feet.
Résumé
Présentation du traitement chirurgical de pieds bots invétérés chez des sujets âgés de 8 à 28 ans. Une libération étendue des parties molles associée à la résection d'un coin supéro-externe chez les malades de 8 à 11 ans, et une double arthrodèse après 11 ans, donnent des résultats très satisfaisants. On peut préconiser la correction des pieds bots sévères et négligés de l'adulte, qui permet d'obtenir une marche plantigrade, indolore et une morphologie acceptable sur le plan esthétique.
Similar content being viewed by others
References
Attenborough, C. G.: Severe congenital talipes equinovarus. J. Bone Joint Surg. [Br.] 48, 31–39 (1966)
Barenfeld, P. A., Wesel, M. S.: Surgical treatment of congenital clubfoot. Clin. Orthop. 84, 79–87 (1972)
Bjonness, T.: Congenital clubfoot. Acta Orthop. Scand. 46, 848–856 (1975)
Bleck, E. E.: Congenital clubfoot. Clin. Orthop. 125, 119–130 (1977)
Campbell's operative orthopaedics, Vol. II, Chap. 25. Congenital anomalies (1964), 5th ed. St. Louis, C. V. Mosby Co., pp. 1906–1922 (1971)
Evans, D.: Relapsing clubfoot. J. Bone Joint Surg. [Br.] 43, 722–733 (1961)
Herold H. Zir, Torok, G.: Surgical correction of neglected clubfoot in the older child and adult. J. Bone Joint Surg. [Br.] 55, 1385–1395 (1973)
Kuhlmann, R. F.: A survey of clinical evaluation of the operative treatment for congenital talipes equinovarus. Clin. Orthop. 84, 88–92 (1972)
Laaveg, S. J., Ponseti, I. V.: Long-term results of treatment of congenital clubfoot. J. Bone Joint Surg. [Anm.] 62, 23–31 (1980)
Reimann, I., Becker-Anderson, H.: Early surgical treatment of congenital clubfoot. Clin. Orthop. 102, 200–206 (1974)
Shaw, N. E.: Treatment and prognosis of clubfoot. Br. Med. J. 1, 219–222 (1977)
Somppi, E., Sulamaa, M.: Early operative treatment of congenital clubfoot. Acta Orthop. Scand. 42, 513–520 (1971)
Storen, H.: Operative treatment of clubfoot in older children and adults. Acta Orthop. Scand. 18, 233–265 (1949)
Swann, M., Lloyd-Roberts, G. C., Catterall, A.: The anatomy of uncorrected clubfoot. J. Bone Joint Surg. [Br.] 51, 263–269 (1969)
Tayton, K., Thomson, P.: Relapsing clubfoot. J. Bone Joint Surg. [Br.] 61, 474–480 (1979)
Turco, V. J.: Resistant congenital clubfoot — one stage posteromedial release with internal fixation. J. Bone Joint Surg. [Am.] 61, 805–814 (1979)
Author information
Authors and Affiliations
Additional information
Paper read in the Silver Jubilee Conference of Indian Orthopaedic Association at Bombay in September, 1980
Rights and permissions
About this article
Cite this article
Yadav, S.S. Observations on operative management of neglected club-foot. International Orthopaedics 5, 189–192 (1981). https://doi.org/10.1007/BF00266682
Issue Date:
DOI: https://doi.org/10.1007/BF00266682