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Treatment of relapsed idiopathic clubfoot by complete subtalar release combined with the Ilizarov method.

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.
AuthorsTakanobu Nakase, Natsuo Yasui, Kenji Ohzono, Nobuyuki Shimizu, Hideki Yoshikawa
JournalThe 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 [Print] United States
PMID16949532 (Publication Type: Journal Article)
Topics
  • Child
  • Child, Preschool
  • Clubfoot (surgery)
  • Female
  • Humans
  • Ilizarov Technique
  • Ligaments, Articular (surgery)
  • Male
  • Recurrence
  • Subtalar Joint

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