The use of a tissue expander before complete subtalar release in club-foot surgery

Volume: 26 Number: 1 September 11, 2006
  • Bener Sen
  • Mehmet Asik
  • Aytug Ertav
  • Ahmet Kapukaya
EN TR

The use of a tissue expander before complete subtalar release in club-foot surgery

Abstract

After complication of the surgical full correction of club-foot, primary skin closure may be difficult or even impossible, especially in severe cases and revision operations. This problem is also seen after the complete subıalar release technique. To solve this problem we used a tissue expander to prepare sufficient skin to allow pnmary skin closure. The patient was a 36-month old boy. After a normal pregnancy and delivery severe bıJateral club-foot was noted at birth. At 24 months bilateral posterior and medial release were performed in another clinic. After one year severe and rigid deformity was repeated bilaterally. At 36 months a complete subtalar release was performed for the righl club-foot in our department. After complelion of the surgical correction we couldn't achieve primary skin closure. For this reason, to prepare sufficient skin to allow primary skin closure, on the lefl foot an expander (balloon of foley catheter, No: 18) was inserted through an incision and placed superficial to the fascia on the distal anteromedial surface of tibia during the same operation. At one week intervals 2-5 ml of saline were added. When we felt that sufficient expansion had been achieved we performed a complete subtalar release for the Ieft club-foot. Primary closure was achieved without tension in the fully corrected position and healing was uneventful. In conclusion, sofl tissue expansion was used Succesfully to prepare the skin before the correction by complele subtalar release of a severe and rigid club-foot deformity.

Keywords

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Bener Sen This is me

Mehmet Asik This is me

Aytug Ertav This is me

Ahmet Kapukaya This is me

Publication Date

September 11, 2006

Submission Date

March 6, 2014

Acceptance Date

-

Published in Issue

Year 1992 Volume: 26 Number: 1

APA
Sen, B., Asik, M., Ertav, A., & Kapukaya, A. (2006). The use of a tissue expander before complete subtalar release in club-foot surgery. Acta Orthopaedica et Traumatologica Turcica, 26(1), 50-54. https://doi.org/10.3944/aott.v26i1.1292
AMA
1.Sen B, Asik M, Ertav A, Kapukaya A. The use of a tissue expander before complete subtalar release in club-foot surgery. Acta Orthopaedica et Traumatologica Turcica. 2006;26(1):50-54. doi:10.3944/aott.v26i1.1292
Chicago
Sen, Bener, Mehmet Asik, Aytug Ertav, and Ahmet Kapukaya. 2006. “The Use of a Tissue Expander before Complete Subtalar Release in Club-Foot Surgery”. Acta Orthopaedica et Traumatologica Turcica 26 (1): 50-54. https://doi.org/10.3944/aott.v26i1.1292.
EndNote
Sen B, Asik M, Ertav A, Kapukaya A (September 1, 2006) The use of a tissue expander before complete subtalar release in club-foot surgery. Acta Orthopaedica et Traumatologica Turcica 26 1 50–54.
IEEE
[1]B. Sen, M. Asik, A. Ertav, and A. Kapukaya, “The use of a tissue expander before complete subtalar release in club-foot surgery”, Acta Orthopaedica et Traumatologica Turcica, vol. 26, no. 1, pp. 50–54, Sept. 2006, doi: 10.3944/aott.v26i1.1292.
ISNAD
Sen, Bener - Asik, Mehmet - Ertav, Aytug - Kapukaya, Ahmet. “The Use of a Tissue Expander before Complete Subtalar Release in Club-Foot Surgery”. Acta Orthopaedica et Traumatologica Turcica 26/1 (September 1, 2006): 50-54. https://doi.org/10.3944/aott.v26i1.1292.
JAMA
1.Sen B, Asik M, Ertav A, Kapukaya A. The use of a tissue expander before complete subtalar release in club-foot surgery. Acta Orthopaedica et Traumatologica Turcica. 2006;26:50–54.
MLA
Sen, Bener, et al. “The Use of a Tissue Expander before Complete Subtalar Release in Club-Foot Surgery”. Acta Orthopaedica et Traumatologica Turcica, vol. 26, no. 1, Sept. 2006, pp. 50-54, doi:10.3944/aott.v26i1.1292.
Vancouver
1.Bener Sen, Mehmet Asik, Aytug Ertav, Ahmet Kapukaya. The use of a tissue expander before complete subtalar release in club-foot surgery. Acta Orthopaedica et Traumatologica Turcica. 2006 Sep. 1;26(1):50-4. doi:10.3944/aott.v26i1.1292