[Minimally invasive treatment of congenital foot deformities in infants: new findings and midterm-results].

Abstract

In the last decade treatment of foot deformities has changed from extensive surgery to casting and minimally invasive surgery. The Ponseti method has become the most preferred treatment for clubfoot deformities and early evaluations showed promising results. Mid-term results for idiopathic clubfoot revealed the need for additional surgery by anterior tibial tendon transfer in 11-32% of cases depending on the duration of bracing. Anterior tibial tendon transfer is the most important surgical procedure for relapses in the Ponseti concept. Casting, recasting in cases of relapses, bracing and anterior tibial tendon transfer altogether represent the Ponseti method and cannot be considered as single entities.The Dobbs method is a new concept for the treatment of vertical talus. Treatment of vertical talus should start with the Dobbs method but in comparison to clubfoot treatment there has not been a complete change to minimally invasive treatment. Especially in non-idiopathic vertical talus cases open reduction of the talonavicular and calcaneocuboid joint are often necessary.

• Authors: O Eberhardt, T Wirth, F F Fernandez
• Journal: Der Orthopade (Orthopade) Vol. 42 Issue 12 Pg. 1001-7 (Dec 2013) ISSN: 1433-0431 [Electronic] Germany
• Vernacular Title: Minimal-invasive Therapieverfahren angeborener Fußdeformitäten im Säuglingsalter : Berücksichtigung neuer Erkenntnisse und mittelfristiger Ergebnisse.
• PMID: 24154657 (Publication Type: Evaluation Study, Journal Article)

Topics

• Casts, Surgical
• Combined Modality Therapy (methods)
• Foot Deformities, Congenital (diagnosis, surgery)
• Humans
• Immobilization (instrumentation, methods)
• Infant
• Infant, Newborn
• Minimally Invasive Surgical Procedures (methods)
• Plastic Surgery Procedures (methods)
• Tendon Transfer (methods)
• Treatment Outcome