| Abstract | This study presents the clinical and radiographic outcomes of 6 feet (4 patients) with relapsed idiopathic clubfoot that were treated with a combination of subtalar release and the Ilizarov method. The mean patient age at the time of the surgery was 7.4 years (range, 4.5-10.5 years), and the mean follow-up was 5.1 years (range, 2.0-7.3 years). All cases achieved a plantigrade foot, better walking ability, and parental satisfaction with the result. Ankle joint range of motion increased from a mean of 17 degrees (range, 10-30 degrees) preoperatively to 45 degrees (range, 35-65 degrees) at final follow-up. The talocalcaneal angle improved from a mean of 26 degrees (range, 15-34 degrees) preoperatively to 55 degrees (range, 47-65 degrees) at follow-up. The mean tibiocalcaneal angle improved from 95 degrees (range, 87-115 degrees) preoperatively to 80 degrees (77-83 degrees) at follow-up, whereas the talometatarsal angle improved from a preoperative mean of -19 degrees (range, -35 to -10 degrees) to 3.5 degrees (range, -5 to 7 degrees) at follow-up. Recurrence was observed in only 1 foot with forefoot adductus, caused by a pin tract infection and early fixator removal. These cases suggest the Ilizarov method combined with subtalar release are beneficial for the treatment of relapsed idiopathic clubfoot. |
| Authors | Takanobu Nakase, Natsuo Yasui, Kenji Ohzono, Nobuyuki Shimizu, Hideki Yoshikawa
(Affiliation: Department of Orthopaedic Surgery, Osaka National Hospital, Osaka, Japan.)
|
| Journal | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
(J Foot Ankle Surg)
2006 Sep-Oct
Vol. 45
Issue 5
Pg. 337-41
ISSN: 1067-2516 United States |
| PMID | 16949532
(Publication Type: Journal Article)
|
| Topics |
- Child
- Child, Preschool
- Clubfoot
(surgery)
- Female
- Humans
- Ilizarov Technique
- Ligaments, Articular
(surgery)
- Male
- Recurrence
- Subtalar Joint
|
