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Talectomy for equinovarus deformity in arthrogryposis and meningomyelocele

Year 1999, Volume: 33 Issue: 1, 43 - 46, 11.09.2006

Abstract

Equinovarus deformity of the foot in arthrogryposis and myelomeningocele is usually resistant to manipulative methods of treatment and often recur after traditional operations such as soft - tissue releases and tendon elongations. Pantalar arthrodesis has been reported unsuccessful but triple arthrodesis was reported satisfactory in the treatment of such deformities. The necessity of waiting for the foot’s maturation until 10-12 years is the drawback of triple arthrodesis. Talectomy was carried out for the treatment of severe clubfoot deformity of 16 feet in 10 patients with arthrogryposis or myelomeningocele between 1995 and 1998 in our clinic. The age at surgery ranged from 8 months to 3 years and 4 months with an average of 16 months. Our average followup length is 22 months. In 56.25 % of the patients, a plantigrade foot was achieved without recurrence. A second posterior release was necessary in 18.75% of patients. In the followup, these patients’ results were also evaluated as satisfactory. In 4 feet, there were unsatisfactory results (25 %). We think these are associated with untreated muscle imbalance. We recommend talectomy before the expected age of walking for the treatment of severe clubfoot deformity in arthrogrypotic and myelodisplastic patients.

Talektomi: Meningomyelosel ve artrogripoziste ekinovarus deformitesinin tedavisindeki yeri

Year 1999, Volume: 33 Issue: 1, 43 - 46, 11.09.2006

Abstract

Meningomyelosel ve artrogripozis'te ayağın ekinovarus deformitesi manipülasyon ve alçılamaya rezistandır ve klasik cerrahi yaklaşımlardan sonra da nüks sıktır. Bu neden ile kliniğimizde, 1995 - 1998 yılları arasında artrogripotik veya myelodisplastik ekinovarus deformitesi olan 10 hastanın 16 ayağına posterior gevşetme ve salektomi uygulandı. Serimizde. ameliyat sırasındaki yaş ortalaması 16 ay; ortalama takip süremiz 22 aydır. Talektomi sonrası %56.25 hastada deformite düzeldi, nüks çıkmadı ve tatminkar sonuç alındı. Hastaların % l8.75'inde ekinus deformitesinin nüksü nedeni ile ikinci bir posterior gevşetme yapıldı ve sonradan bu ayakların da sonuçları tatminkar bulundu. Hastaların % 25'inde sonuçlar kötü olarak değerlendirildi ve kas imbalansının düzeltilmesi için ek bir girişim yapılmamış olmasına bağlandı. Bu sonuçlar ışığında ralektominin yürüme yaşından önce artrogripotik veya myelodisplastik ekinovarus deformitesinin primer tedavisinde radikal bir yöntem olduğu ve posteromedial gevşeme gibi klasik yöntemler sonrası çıkabilecek nüksleri azaltacağı düşüncesindeyiz.

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Details

Primary Language English
Journal Section Original Article
Authors

Hakan Kinik This is me

Kenan Bayrakci This is me

Atac Karakas This is me

Ertan Mergen This is me

Publication Date September 11, 2006
Published in Issue Year 1999 Volume: 33 Issue: 1

Cite

APA Kinik, H., Bayrakci, K., Karakas, A., Mergen, E. (2006). Talectomy for equinovarus deformity in arthrogryposis and meningomyelocele. Acta Orthopaedica Et Traumatologica Turcica, 33(1), 43-46. https://doi.org/10.3944/aott.v33i1.2312
AMA Kinik H, Bayrakci K, Karakas A, Mergen E. Talectomy for equinovarus deformity in arthrogryposis and meningomyelocele. Acta Orthopaedica et Traumatologica Turcica. September 2006;33(1):43-46. doi:10.3944/aott.v33i1.2312
Chicago Kinik, Hakan, Kenan Bayrakci, Atac Karakas, and Ertan Mergen. “Talectomy for Equinovarus Deformity in Arthrogryposis and Meningomyelocele”. Acta Orthopaedica Et Traumatologica Turcica 33, no. 1 (September 2006): 43-46. https://doi.org/10.3944/aott.v33i1.2312.
EndNote Kinik H, Bayrakci K, Karakas A, Mergen E (September 1, 2006) Talectomy for equinovarus deformity in arthrogryposis and meningomyelocele. Acta Orthopaedica et Traumatologica Turcica 33 1 43–46.
IEEE H. Kinik, K. Bayrakci, A. Karakas, and E. Mergen, “Talectomy for equinovarus deformity in arthrogryposis and meningomyelocele”, Acta Orthopaedica et Traumatologica Turcica, vol. 33, no. 1, pp. 43–46, 2006, doi: 10.3944/aott.v33i1.2312.
ISNAD Kinik, Hakan et al. “Talectomy for Equinovarus Deformity in Arthrogryposis and Meningomyelocele”. Acta Orthopaedica et Traumatologica Turcica 33/1 (September 2006), 43-46. https://doi.org/10.3944/aott.v33i1.2312.
JAMA Kinik H, Bayrakci K, Karakas A, Mergen E. Talectomy for equinovarus deformity in arthrogryposis and meningomyelocele. Acta Orthopaedica et Traumatologica Turcica. 2006;33:43–46.
MLA Kinik, Hakan et al. “Talectomy for Equinovarus Deformity in Arthrogryposis and Meningomyelocele”. Acta Orthopaedica Et Traumatologica Turcica, vol. 33, no. 1, 2006, pp. 43-46, doi:10.3944/aott.v33i1.2312.
Vancouver Kinik H, Bayrakci K, Karakas A, Mergen E. Talectomy for equinovarus deformity in arthrogryposis and meningomyelocele. Acta Orthopaedica et Traumatologica Turcica. 2006;33(1):43-6.