ABSTRACT
The paper presents the late results (after 5-16 years; mean follow-up--9.5 years) of lateral cuboid resection performed in 55 children with pathologic foot adduction. The age of the children ranged from 18 months to 12 years (average age 41 months). This residual deformity resulted from the treatment of clubfoot (both conservative and surgical). The procedure was performed in cases with severe forefoot adduction (type III according to Simondsa). Late results of treatment of 54 feet (75.9%) of the cases were assessed according to the Magone classification yielding good and very good results in 41 (75.9% feet; satisfactory in 10 (18.6%) feet. In 95% of case correction of adduction deformity was achieved. The authors stress the fact, that the degree of correction is correlated to the extent of the primary clubfoot defect. This procedure allowed correction of talo-navicular relation. The described procedure may be performed with no regard to age, although the optimal age is 3 to 8 years.
Subject(s)
Clubfoot/surgery , Tarsal Bones/surgery , Adolescent , Child , Child, Preschool , Female , Follow-Up Studies , Humans , MaleABSTRACT
Basing on the authors' own experiences an attempt to assess the value of posteromedial release in treatment of congenital clubfoot was made. The procedure was performed in 70 feet in 52 children, age ranging from 6 months to 12 years, 90% of the procedures were performed before 4 years of age. Feet were classified as follows: a. non-coerrective--type III according to Marciniak, b. Partially corrective, c. in older children (> 4 years of age) in whom posteromedial release was combined with a lateral resection of the cuboid bone. Late results after 5-20 years (13 years on average) were assessed according to Magone's classification. Deformity free, fully functional feet were achieved in 60% cases. The authors stress the fact that posteromedial release is the method of choice in uncorrective cases of clubfeet, and in cases were conservative treatment was implemented after 10 months of age. In the procedure should be performed at the age of 2-3 months.
Subject(s)
Clubfoot/surgery , Orthopedic Procedures/methods , Adolescent , Adult , Child , Child, Preschool , Female , Humans , MaleABSTRACT
The aim of this paper was to assess the utility of this procedure and to define it's role in treatment of congenital clubfeet. The material comprises 123 children, among whom 154 feet were treated by posterior release. The age of the patients ranged from 5 to 36 months (average age: 16 months). The procedure involved the lengthening of the Achilles tendon in the sagittal plane, partial resection or transverse dissection of the articular capsule of the ankle joint. In selected cases lengthening of the tendon of the extensor hallucis muscle was performed and sometimes of the posticus muscle. The described procedure was performed in all cases where all forefoot components of the deformity were found, as well as an equines position of the foot. A group of 87 patients (70.7%), among whom posterior release was performed in 101 feet (65.6%). The follow-up time ranged from 5 to 15 years (average: 12.3 years). Results were assessed according to the classification by Magone et al. Very good results (95-100 points) were achieved in 27 feet (26.8%), good results (80-89 points) were found in 40 feet (39.6%), satisfactory (70-79 points) in 25 feet (24.7%), and bad results (less than 70 points) in 9 feet (8.9%). Basing on their own experience the authors' believe this procedure is very useful in treatment of congenital clubfeet. It's therapeutic usefulness is at it's best when deformities of the forefoot have been conservatively corrected. The extent of posterior release depends on the severity of the deformity.
Subject(s)
Achilles Tendon/surgery , Clubfoot/surgery , Adolescent , Adult , Ankle Joint/surgery , Child , Child, Preschool , Follow-Up Studies , Humans , Infant , Tendons/surgeryABSTRACT
In the paper, 30 patients at the age of 5 till 14 with injuries of the semilunar cartilages of the knee-joint, are presented. All the children were subjected to surgery, and 20 of them underwent same examinations performed in a delay of 1 to 12 years after they had been operated. Both etiology and the injury mechanism subjects are hadled together with the clinical pictures, specific to the age of the young patients. Basing of the clinical and X-ray examinations, the state of the morphological and functional condition of the knee of a child after semilunar cartilage had been removed, was considered and estimated.
