The HeymanHerndon Tarsometatarsal Capsulotomy for Metatarsus Adductus

Autor: Stark, John G., Johanson, James E., Winter, Robert B.
Zdroj: Journal of Pediatric Orthopaedics; May 1987, Vol. 7 Issue: 3 p305-310, 6p
Abstrakt: Forty-eight Heyman-Herndon tarsometatarsal capsulotomies were performed over an 18-year period for idiopathic metatarsus adductus and residual adductus of clubfoot. There was a 41 overall failure rate and a 50 incidence of painful dorsal prominence at the surgical scar. Sixty-eight percent of the patients had difficulty with proper shoe fitting. Those with associated orthopedic anomalies were at high risk for a poor result. We believe that tarsometatarsal capsulotomy is of questionable benefit in treatment of forefoot adduction deformities of children.
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