Window [aslam-soomro] procedure for congenital Talipes Equino Varus

ABSTRACT

This prospective study, carried out in the Dept. of Orthopaedics at Civil Hospital Karachi, describes the results of our new technique i.e. the window procedure in the surgical management of Congenital Talipes Equino Varus [CTEV] of the mild and moderate type [Dimeglio Classification]. One hundred and thirty six patients, aged 6-18 months, were included in the study. Amongst them were 90[66%] boys and 46 [34%] girls. Out of the 136 patients treated with this new procedure, 15 were excluded from the study. Amongst the remaining 121 cases, 109 [90.08%] were functionally good. Nine [7.44%] patients had fair results and needed manipulation under general anaesthesia, while three [2.48%] were functionally poor. Amongst them two needed revision of Achilles tendon`s tenotomy while one needed revision surgery i.e. extended posterio-medial release. In view of good results and fewer complications, we advocate the use of this newer technique for CTEV of the mild to moderate type