TY - JOUR T1 - Surgical Treatment of Congenital Pes Equino Varus TT - Doğuştan Pes Ekuino Varusun Cerrahi Tedavisi AU - Mergen, Ertan PY - 1988 DA - March JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 105 EP - 118 VL - 41 IS - 1 LA - en AB - The clubfoot is considered as a serious deformity among the congenital anomalies. Before starting thc troatmcnt of this deformity, orthopaedic surgeon should inform the child's parents about the nature of deformity type and duration of treatment. The best way to treat this deformity js the closed reduction of the dislocated talocalcaneonavicular joint. However, if patient resists the concervative treatment or if he/she is older than 18 months, surgical treatment should be applied. In Dept. of Orthopaedic Surgery and Traumatology, Medical Faculty University of Ankara, we surgically treated 181 feet in 138 cases between 1982 - 1987, The youngest patients was 3 months old and the oldest one was 8 years old. In general the surgical results that we obtained were considered succesful. KW - Orthopaedic KW - redüksiyon KW - Travmatoloji N2 - Pes ekuino varus doğmalık ayak anomalileri içinde önemli bir yer tutar. Bu deformitenin tedavisine başlamadan önce ortopedist çocuğun ailesine deformitenin natürü, tedavi şekli ve süresi hakkında aydınlatıcı bilgiler vermelidir, Deformitenin ideal tedavisi disloke talokalka- 116 neonaviküler eklemin kapall redüksiyonudur. Ancak buna dirençìi olgular ile 18 aydan sonra gelen olgularda cerrahi tedavi uygulan malldlr. 1982 - 1987 Ylllarl araslnda Ankara (jniversitesi TIP Fakültesi Ortopedi ve Travmatoloji Anabilim Dalmda 138 olgunun 181 ayagma cerrahi girisim uygulanrn1St1r. En küçük yas 3 ay, en büyük yas 8 yas idi. Cerrahi tedaviden elde edilen sonuçlar basarlll olarak dežerlendirilmistir. CR - 1. Campbell's Operative Orthopaedics (Ed, A.H. Crenshaw) The C.V. Mosby Company 1987 Vol. Four S. 2635. CR - 2. Crawford, A.H., Marxen, J.L., Osterfeld, D.L : The cincinnati Incision A Comrehensive Approach for Surgical Procedures of the Foot and Ankle in Childhood. J. Bone Joint Surg. 64 A : 1355-1358, 1982. CR - 3. Duraman, A., Çak1rgil, G.S„ Korkusuz, Z. : Ortopedi. A.Ü. Fakültesi Baslrnevis. 77, 1971 Ekuino Varus'un CR - 4. Ege, R, Tümer, Y., Mergen, E. : Doğuştan Sakatlıkların araştırılması erken teşhis ve tedavi. Emel Matbaacılık Sanayii Ankara 1983. CR - 5. Eroğlu, O. : Konjenital pes ekumo varus ve Konservatif tedavisi V. Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı s. 465 1978. CR - 6, Leaveg, S,J., Ponseti. I,V. : Long-term Results of Treatment of Congenital Club Foot, J. Bone Joint Surg. 62-A : 23-31. 1981 CR - 7. Lowell, W „ Price, C.T., Mechan, P.L. : Pediatric Orthopaedics (Edit. Lowell and Winter) J,B. Lippincott Co. 1986 s, 901-915. CR - 8. Main, B.J. ve ark. : The Resulüs of Early Operation in lalipes Equinovarus. J. Bone Joint. Surg. 59-B : 337-341, 1977. CR - 9. Main, B,J., Crider, R.J. f. An Analysis of Residual Deformity in Clubfeet Submitted to Early Operation J. Bone Joint Surg. 60-B : 536 1978. CR - 10. McKay, DW. : New Concepts of and Approach to Club Foot Treatment Seciion I. Principles and Morbid Anatomy. J. Pediatr. Orthop, 2 : 347-356, 1982. CR - II. McKay, DW, : New Concept of and Approach to Clubfoot Treatment. Section. II, Correction of the Clubfoot, J. Pediatr. Orthop. 3 : 10-21, 1983, CR - 12. McKayj DW. ş. New Concept of and Aproach to Clubtoot Treatment. Section III. Evaluation and Results, J, Pediatr. Orthop, 3 : 141-148, 1983. CR - 13. Nather, A., Base, K. Conservative and Surgical Treatment of Clubfooü J. Pediatr. Orthop. 7 : 42-48, 1987. CR - 14, Otremski, 1., Salama, R, Khermosh, 0., Weintroub. S. : An Analysis of the Re sults of a Modified One - Stage Posteromedial Release (Turco Operation) for the Treatment of Clubfoot. J. Pediatr. Orthop. 7 : 149-151. 1987. CR - 15. Porat, S., Milgrom. C, Bentley, G. : The History of Treatment of Congenital Clubfoot at tha Royal Liverpool Children's Hospital. Improvement of Results by Early Extensive Posteromedial Release. J. Pediatr. Orthop. 4 : 331-338, 1984. CR - 16. Paul DeRose, G-, Stepro, D. Resulüs of Posteromedial Release for the Residual Clubfoot. J. Pediatr. Orthop. 6 : 590-595, 1986. CR - 17. Ryöppy, S., Şairanen, H. : Neonatal Operative Treatment of Clubfoot J. Bone Joint Surg. 65-B : 320-325, 1983. CR - 18. Schlicht, D. Pathologic Anatomy of Talipes Equinovarus, Year Book of Orthopaedics, Traumatic and Plastic Surgery. 1963 - 1964. s. 23. t1Û CR - 19. Scott, W .A., Hosking, S.W., Catteral, A. • Clubfoot. J. Bone Joint Surg. 66-B 71-76, 1984. CR - 20. Settle, G.W : Anatomy of Congenital Talipes Equinovarus. Year Book of Orthopaedics, Traumatics and Plastic Surgery. 1963 - 1964, s. 24. CR - 21, Seyhan, F. : Calcaneusta Varus Deformitesinin Dwyer Osteotomisi ile Düzeltilmesi. Ill, Türkiye Ortopedi ve Travmatoloji Kongre Kitabl Birlik Matbaasl Izmir 1974 s. 118. CR - 22. Simons, G. W. : Complete Subtalar Release in Clubfoot Part I J. Bone Joint surg. 67-A : 1044-1055, 1985. CR - 23. Simons, G, W. : Complete Subtalar Release in Clubfoot Part Il. J. Bone Joint surg. 67-A : 1056-1065, 1985. CR - 24. Swan, Lloyd-Roberts, G.C., Catterall, A. : The Anatomy of Uncorrected Clubfeet, J. Bone Joint Surg. 51-B 263-269, 1969; CR - 25. Tachdjian, M.O. : The Child's Foot. W.D. Saunders Company 1905. s, 139. CR - 26. Taylor, K, Thompson, P. : Relapsing Clubfeet, J. Bone Joint Surg. 61-B : 474, 1979. CR - 27. Turco, V.J. : Clubfoot. Churcill Livinstone 1981 s. 85-165. CR - 28. Turco, V.J. : Surgical Correction of the Resistant Clubfoot J. Bone Joint Surg. 53-A : 477, 1971 CR - 29. Turco, V.J. : Resistant Congenital Clubfoot - One Stage Posteromedial Release With Internal Fixation. J. Bone Joint Surg- 61-A : 805-814, 1979. CR - 30. Tümer, Y. : Dožustan Pes Ekuino Varus Deformitesinin Erken Cerrahi Tedar vis). A.Ü. TIP Faküitesi Mecmuasi Cilt 34 sayl 3 1981 s. 389-404. UR - https://dergipark.org.tr/en/pub/autfm/issue//1727765 L1 - https://dergipark.org.tr/en/download/article-file/4993130 ER -