One-step Management of Severely Deformed, Long-Neglected Club Feet:

Foot & Ankle Orthopaedics

MichaelStrauss¹ 

关键词: Club Feet;    Major Deformity;    Talipes Equino Varus;    Lateral Midfoot Ulceration;    Forefoot Contraction;    External Fixation;    Osteotomy;   

DOI  :  10.1177/2473011418S00468

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:OtherIntroduction/Purpose:Early management of the club foot using the Ponsetti technique has almost eliminated severe residual deformities from this problem. Unfortunately, in remote regions of the world patients may not have been afforded the benefits of this technique. The consequences are severely deformed, long-neglected foot deformities. Interventions to mitigate this problem have included talectomies, osteotomies, tendon transfers, gradual corrections using Ilizarov principles and as a last resort, transtibial amputations. All have undesirable features such as inadequate corrections with residual deformities, need for additional surgeries, intensive post-operative management and/or need for custom orthotics or prostheses. We propose a one-stage, single setting approach to this problem that fully realigns the foot and requires minimum of post-operative management.Methods:During a 2017 humanitarian mission to Vietnam, six patients with severely deformed, long-neglected club feet were managed ...

【 授权许可】

CC BY