Use of a Ponseti-hex Assisted Triple Arthrodesis: A Case Study of Bilateral Neglected Adult Clubfoot.
| Autor: | Mayet Z; Department of Orthopaedics, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.; Department of Orthopaedics, University of the Witwatersrand, Johannesburg, South Africa., Barnard AC; Department of Orthopaedics, Walk-A-Mile Centre for Advanced Orthopaedics, Centurion 0046, Pretoria, South Africa., Birkholtz F; Department of Orthopaedics, Walk-A-Mile Centre for Advanced Orthopaedics, Centurion 0046, Pretoria, South Africa.; Department of Orthopaedics, University of Pretoria, Pretoria 0002, South Africa. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of orthopaedic case reports [J Orthop Case Rep] 2019 Jan-Feb; Vol. 9 (1), pp. 85-89. |
| DOI: | 10.13107/jocr.2250-0685.1322 |
| Abstrakt: | Introduction: Management of neglected clubfoot presents a challenging problem. Treatments traditionally involve extensive posteromedial soft tissue releases, bony procedures, and the Ilizarov technique of differential distraction. Case Report: We present a case of bilateral neglected clubfoot in a 34-year-old female. Management involved the novel combination of the gradual distraction of prepared triple arthrodesis surfaces and the Ponseti regimen which was achieved using the three-dimensional corrective power of hexapod-type circular fixators. Both feet were corrected to achieve plantigrade painless feet. Conclusion: Combining the Ponseti regimen with a hexapod fixator has presented an excellent management strategy for neglected clubfeet in an adult. We further propose the use of a generic name, the Ponseti-hex technique, to cover for the use of all makes of hexapod external fixators. Competing Interests: Conflict of Interest: Nil |
| Databáze: | MEDLINE |
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