Treatment of persistent forefoot adduction during ponseti method in treatment of idiopathic talipes equinovarus by minimal soft release

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• 作者：El sayed Abd El-halim Abdullah ; ^{sayed_halim@yahoo.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Clubfoot ; Abductor hallucis ; Ponseti
• 刊名：Journal of Orthopaedics
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：13
• 期：3
• 页码：230-234
• 全文大小：819 K

文摘

Abductor hallucies tenotomy sometimes necessary in treatment of clubfoot.

Material and methods

Thirty children (45 feet) of one day old up to six months presented with idiopathic clubfoot. Patients were treated using the technique of Ponseti combined by abductor hallucies tenotomy after serial casting.

Results

At a mean follow up period of 16.7 months, 43/45 feet were good (95%), 2/45 feet were bad (5%). The mean Pirani score at the final follow up was 1.05.

Conclusion

Abductor hallucies tenotomy shortens the duration of casts, decrease the cost and risk of leg atrophy.