.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.jpg)
Neglected clubfoot in an adolescent treated with posteromedial release-Case Report.
Keywords:
Congenital Talipes Equinovarus, Neglected clubfoot, Posteromedial release, Tripple arthrodesis.Abstract
Neglected clubfoot in adolescent is a challenge to treat for an Orthopedic surgeon. The aim of treatment is a pain free and cosmetically acceptable foot with near normal function. Different treatment modalities have been reported with variable results and include Ponseti method of casting, soft tissue release alone or with some bony procedure like triple arthrodesis, talectomy, and Ilizarov ring fixator. We present a case report of a neglected club foot in 18-year-old female treated with isolated posteromedial soft tissue release (PMR). We achieved a cosmetically acceptable pain free plantigrade foot.
References
Penny JN. The neglected clubfoot. Techniques in Orthopaedics Vol 20. Philadelphia: Lippincott Williams & Wilkins Inc.; 2005: 153--166.
Pigeolet M, Imam S, Ninulescu GC, Kabir S, Smeesters PR, Mahmud H. Evaluation of a surgical treatment algorithm for neglected clubfoot in low-resource settings. International Orthopaedics (SICOT).2022; 46:61-70.
Shingade VU, Shingade RV, Ughade SN. Correction of neglected or relapsed clubfoot deformity in an older child by single-stage procedure: early results. Current Orthopaedic Practice.2012;23(2):122-129.
Kumar PNH, Laing PW, Klenerman L. Medial calcaneal osteotomy for relapsed equinovarus deformity: long term study of the results of Frederick Dwyer. J Bone Joint Surg. 1993; 75-B: 967-971.
Yamamoto H, Muneta T, Ishibashi T, Furuya K. Posteromedial release of congenital club foot in children over five years of age. J Bone Joint Surg Br. 1994;76(4):555-558.
Uglow MG, Clarke NMP. Relapse in staged surgery for congenital talipes equinovarus. J Bone Joint Surg. 2000; 82-B: 739-743.
Pell RF, Myerson MS, Schon LC. Clinical outcome after primary triple arthrodesis. J Bone Joint Surg. 2000; 82-A:47-57.
Legaspi J, Li YH, Chow W, Leong JC. Talectomy in patients with recurrent deformity in club foot. A long-term follow-up study. J Bone Joint Surg Br. 2001;83(3):384-387.
Lourenco AF, Morcuende JA. Correction of neglected idiopathic club foot by the Ponseti method. J Bone Joint Surg. 2007; 89- B:378-381.
Nogueira MP, Batlle AME, Alves CM. Is it possible to treat recurrent clubfoot with the Ponseti technique after posteromedial release? a preliminary study. Clin Orthop Relat Res. 2009; 467:1298--1305.
Culverwell AD, Tapping CR. Congenital talipes equinovarus in Papua New Guinea: a difficult yet potentially manageable situation. Int Orthop. 2007; 33:521-526.
Shingade VU, Shingade RV, Ughade SN. Correction of neglected or relapsed clubfoot deformity in an older child by single-stage procedure: early results. Current Orthopaedic Practice. 2012;23(2):122-129
Ganesan B, Luximon A, Al-Jumaily A, Balasankar SK, Naik GR. Ponseti method in the management of clubfoot under 2 years of age a systematic review. PLoS One. 2017;12(6):e0178299. doi: 10.1371/journal.pone.0178299.
Penny JN. The Neglected Clubfoot. Tech Orthop. 2005;20(2):153–166.
Morcuende JA, Dolan LA, Dietz FR, Ponseti IV. Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method. Pediatrics. 2004;113(2):376–380.
Faldini C, Traina F, Di Martino A, Nanni M, Acri F. Can selective soft tissue release and cuboid osteotomy correct neglected clubfoot? Foot and ankle. Clin Orthop Relat Res. 2013;471(8):2658–2665.
Faldini C, Traina F, Nanni M, Sanzarello I, Borghi R, Perna F. Congenital idiopathic talipes equinovarus before and after walking age: observations and strategy of treatment from a series of 88 cases. J Orthop Traumatol. 2016;17(1):81–87.
Hoque MF, Uddin N, Sultana S (2001) Operative management of rigid congenital club feet in Bangladesh. Int Orthop 25(4):260–262.
Helmers AC. The Treatment of Neglected Clubfoot. Foot Ankle Clin. 2021;26(4):705-725.
Ak?nc? O, Akal?n Y. Medium-term results of single-stage posteromedial release and triple arthrodesis in treatment of neglected clubfoot deformity in adults. Acta Orthop Traumatol Turc. 2015;49(2):175-183.
Haje DP. Neglected Idiopathic Clubfoot Successfully Treated by the Ponseti Method: A Case Report of an Adult Patient who Started Treatment at 26 Years of Age. J Orthop Case Rep. 2020;10(4):74-77.
