Results of Primary Talectomy for Clubfoot in Infants and Toddlers with Arthrogryposis Multiplex Congenita.

Abstract

BACKGROUND:

Equinovarus deformity in arthrogryposis multiplex congenita patients is rigid and difficult to treat. Radical soft tissue operations yielded good results though recurrence of deformity was high. Talectomy is a bony procedure recommended as either a salvage procedure or a primary operation.

OBJECTIVE:

To evaluate the results ofprimary talectomy in infant and toddler patients retrospectively.

MATERIAL AND METHOD:

Arthrogryposis multiplex congenita patients with rigid equinovarus deformity treated with talectomy initially were retrospectively reviewed. Pain score, residual foot deformity, shoe modification, and ambulatory status were assessed.

RESULTS:

Talectomy were performed in 19 arthrogrypotic feet in 10 infants and toddlers. There were 6 males and 4 females. The mean age at surgery was 1.3 years old and the mean age of the follow-up time was 4.9 years. All patients had plantigrade foot without pain. One arthrogrypotic foot required posteromedial release 2 years after index surgery due to recurrent deformity.

CONCLUSION:

Talectomy as theprimaryprocedure in arthrogrypotic infants and toddlers demonstrated good results withfew residual deformities and recurrence. Patients could achieve plantigrade position.

• Authors: Chatupon Chotigavanichaya, Thanase Ariyawatkul, Perajit Eamsobhana, Kamolporn Kaewpornsawan
• Journal: Journal of the Medical Association of Thailand = Chotmaihet thangphaet (J Med Assoc Thai) Vol. 98 Suppl 8 Pg. S38-41 (Sep 2015) ISSN: 0125-2208 [Print] Thailand
• PMID: 26529813 (Publication Type: Journal Article)

Topics

• Arthrogryposis (surgery)
• Child, Preschool
• Clubfoot (surgery)
• Female
• Humans
• Infant
• Male
• Recurrence
• Retrospective Studies
• Talus (surgery)