Results of posteromedial release in resistant Talipes Equinovarus (Club Foot) | Tabatabaei | Pakistan Journal of Medical Sciences
 

Results of posteromedial release in resistant Talipes Equinovarus (Club Foot)

Saeid Tabatabaei, Aliasghar Haddadpour, Seyd Abdolhosein Mehdinasab

Abstract


Objective: Talipes Equinovarus (Clubfoot) is one of the most common foot anomalies which can be treated by serial casting technique with high rate of success. Surgery is indicated for deformities that do not respond to conservative treatment or for the patients that seek medical intervention too late. In this study, we reviewed the results of posteromedial release in treating resistant cases without appropriate response to serial casting.
Methodology: Between April 2005 and March 2010 we treated 133 resistant clubfeet in 72 male and 22 female patients using posteromedial release in Razi Hospital of Jundishapur University of Medical Sciences in Ahvaz, Iran and reviewed the results of the operation and the functional results according to Laaveg-Ponseti scoring system.
Results: We divided the patients into two groups according to the age of the patients at the time of surgery. The most common complication was recurrence of forefoot adduction in the patients over six months. There were wound problems ranging from mild wound edge necrosis to extensive skin slough in both groups without significant difference. The best functional results according to the Laaveg-Ponseti scoring system were found in the patients under six months of age.
Conclusion: Posteromedial release can be used in all of the cases of resistant clubfoot but in older patients it is complicated by more relapse, and less functional results.

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