The correction of the relapsed club foot by closed distraction
نویسندگان
چکیده
Correction of a relapsed clubfoot deformity by distraction with an external fixator is a recognized alternative to open surgery. Most published series report a good outcome but none are prospective observational studies using the scoring system of the International Clubfoot Study Group (ICFSG). We present a series of 9 relapsed club feet treated with closed gradual distraction using this scoring method.
منابع مشابه
The Ilizarov method in the management of relapsed club feet.
We present the results of the management of 17 relapsed club feet in 12 children using the Ilizarov method with gradual distraction and realignment of the joint. Review at a mean of three years after surgery showed maintenance of correction with excellent or good results in 13 feet. Five mobile feet which had been treated by a split transfer of the tibialis anterior tendon two weeks after remov...
متن کاملDifferential distraction for relapsed clubfoot deformity in children.
PURPOSE To evaluate the long-term outcome of clubfoot correction following differential distraction using the Joshi external stabilisation system (JESS). METHODS 13 male and 9 female patients aged 1.5 to 5 years with 28 idiopathic clubfeet underwent differential distraction using JESS for relapsed deformity after posteromedial soft-tissue release. They were available for review after a mean o...
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Relapsed congenital talipes equinovarus is difficult to assess and treat. Pedobarography provides dynamic measurement of the pressures under the foot, and may be used in the assessment of these patients both before and after operation. Our findings showed a statistically significant difference in the distribution of pressure across the foot after treatment by the Ilizarov technique.
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Management of a child with club foot deformity that recurs after an apparently successful posteromedial soft tissue release remains a challenge. Revision surgery is often attempted, but this carries a high risk of significant scarring or neurovascular complications. We have treated 3 children (3 feet) with relapsed club foot and fixed deformities, using Botulinum toxin A (BTX-A) injection into ...
متن کاملRole of Jess in Management of Neglected, Relapsed And Resistant Ctev
Aim: To evaluate the role of Joshi’s external stabilization system in the management of neglected, resistant and relapsed CTEV, in the age group of 1-10 years. Methods And Material: Total 18 patients (20 feet’s) underwent JESS fixation surgery at Department of Orthopedics, S.R.N.Hospital, M.L.N. Medical College Allahabad, from January 2012 to July 2015. This prospective study was conducted on e...
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