Calcaneal derotation osteotomy for clubfoot revision surgery
| Autor: | Henri Bensahel, Keyvan Mazda, Etienne Morel, Georges-François Penneçot, Brice Ilharreborde, Philippe Souchet, Franck Fitoussi |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Clubfoot Radiography medicine.medical_treatment Deformity correction Severe fibrosis Osteotomy Calcaneal osteotomy Recurrence medicine Humans Orthopedics and Sports Medicine Child business.industry medicine.disease Surgery Calcaneus Child Preschool Pediatrics Perinatology and Child Health Female Previously treated business |
| Zdroj: | Journal of Pediatric Orthopaedics B. 16:209-213 |
| ISSN: | 1060-152X |
| DOI: | 10.1097/01.bpb.0000236227.99077.28 |
| Popis: | To describe a derotation calcaneal osteotomy technique and assess its efficacy in the correction of relapsed clubfoot. Twenty-one osteotomies were performed in 20 children with recurrent clubfoot. Nineteen children had been previously treated operatively. The derotation osteotomy was the first procedure performed in one case. The procedure combined medial and plantar releases, followed by a curvilinear osteotomy of the calcaneus. Patients were evaluated clinically and with standing dorsoplantar and lateral radiographs preoperatively, postoperatively and at follow-up. The talocalcaneal angle was considered as the most important criteria to evaluate the deformity correction. The clubfoot was idiopathic in 16 cases and neurological in five cases. Mean age at surgery was 7 years old (range 3.4-12 years). Total number of procedures per foot averaged 2.4 (range 4-1). The mean postoperative follow-up period was 2.8 years (range 2-6 years). The talocalcaneal angle increased significantly after the procedure (P |
| Databáze: | OpenAIRE |
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