Soft tissue operations for congenital talipes equinovarus

Abstract

The patients that had a soft tlssue operation for club foot between september 1984 and september 1989 at Ankara University Medical Faculty were retrospectively evaluated. There were 85 feet on 58 patients of which 36 were male. In 46% of the patients the deformity was bilateral. At the time of surgery most of the patients were between the ages of 1-2 years. After an average follow-up of 10 months (Range 3-39 mo). 76 feet (89%) were clinically considered to be in perfect or good condition. These results were obtained on Patients that had complete subtalar release operations or medial release between the ages of 6 to 12 months. The results were better in patients that had received conservative treatment prior to surgical intervention. Radiologic evaluation was also performed and it was found that the greatest amount of correction in the talocalcaneal index was in patients that had CSTR between the ages of 1-2 years.

Keywords

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Doğuştan pes ameliyatları ekinovarus tedavisinde yumuşak doku ameliyatları

Öz

PEV tanısıyla Eylül 1984-Eylül 1989 yılları arasında Ankara Üniversitesi Tıp Fakültesi'inde yumuşak doku ameliyatı yapılan 36'sı erkek 58 çocuğun 85 ayağı retrospekt olarak incelendi. Tutulum %46 bilateraldi. Ameliyat sırasında hastalar en fazla 1-2 yaş grubu içindeydiler (%36). Ortalama 1O ay (3-39) takip sonrası 76 ayak (%89) çok iyi ve iyi olarak değerlendirildi. Bu klinik değerlendirmeye göre en iyi sonuçlar, 6-12 ay arasında ve CSTR ve medial release uygulanan hastalarda elde edildi. Ameliyat öncesi yeterli konservatif tedavi görenlerde sonuçlar daha başarılıydı. Radyolojik olarak düzelmenin 1-2 yaş grubunda daha iyi olduğu ve talokalkaneal indeksin en fazla CSTR ameliyatı sonrası arttığı gözlendi.

Anahtar Kelimeler

• Talipes equinovarus;soft tissue operation