Results of Surgical Treatment for Congenital Vertical Talus / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 394-400, 2015.
Article
in Korean
| WPRIM
| ID: wpr-647818
ABSTRACT
PURPOSE:
We performed clinical and radiological evaluation of surgical outcomes of congenital vertical talus. MATERIALS ANDMETHODS:
Fifteen surgically treated feet in 9 patients (6 bilateral and 3 unilateral) which were followed-up for at least 2 years were included. Mean patient age at the time of surgery was 10.9 months. The surgical technique was a one-stage correction using the Kumar technique with a Cincinnati skin incision. In 7 feet we also transferred half of the tibialis anterior to the talar neck (the Grice technique). Radiologic parameters (talo-calcaneal angle, talo-first metatarsal angle, tibio-talar angle, tibio-calcaneal angle) were analyzed pre- and postoperatively and at the last follow-up, and clinical outcomes by the Laaveg-Ponseti score.RESULTS:
Talus orientation was improved in all patients. All radiologic parameters showed statistically significant improvement by the last follow-up. The mean Laaveg-Ponseti score at the last follow-up was 16 for patient satisfaction, 16 for function, and 24 for pain. There was no recurrence, however one case of talar neck fracture occurred during the tibialis anterior transfer.CONCLUSION:
One-stage surgical correction for congenital vertical talus at an early age provides satisfactory functional and cosmetic results.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Skin
/
Metatarsal Bones
/
Talus
/
Follow-Up Studies
/
Patient Satisfaction
/
Foot
/
Neck
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2015
Type:
Article
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