RECENT ADVANCES IN THE TREATMENT OF CONGENITAL CLUBFOOT
| Autor: | Vane Antolič |
|---|---|
| Jazyk: | English<br />Slovenian |
| Rok vydání: | 2003 |
| Předmět: | |
| Zdroj: | Zdravniški Vestnik, Vol 72, Iss 9 (2003) |
| Druh dokumentu: | article |
| ISSN: | 1318-0347 1581-0224 |
| Popis: | Background. In the article the etiology and pathological changes in congenital clubfoot are described. The manipulation and casting technique according to Ponseti is presented: the foot is abducted with dorsiflexion of the first ray while pressure is maintained on the lateral aspect of the talar neck in front of the lateral maleolus. The additional skin incision in the line of Achilles tendon is no longer used and the Cincinatti incision is slightly modified in the posterior part of the foot. The operative reposition of the talanavicular joint is in most of cases no longer necessary because of the succesful manipulation and casting technique according to Ponseti. Consequently, the operative time is shortened.Conclusions. Due to recent advances in the treatment of congenital clubfoot patients stay in the hospital only 24 hour after surgery. However the course and result of congenital clubfoot remains to be impredictable to some degree, presumably etiological heterogenity. |
| Databáze: | Directory of Open Access Journals |
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