Abstract
BackgroundStudies describing the surgical approaches utilized for talectomy and their associated complications are scarce. We aimed to compare the surgical techniques and associated procedures from two groups of patients who underwent talectomy using two approaches. The main purpose of this study was to describe the complications and recurrence rates associated with each technique.MethodsBetween January 2004 and December 2019, 62 talectomies were performed in 48 pediatric patients with different pathologies. All patient data were reviewed retrospectively, and data of 31 patients were included in the study. The patients were divided into two groups based on the surgical technique used, and the baseline characteristics, along with the post-operative findings, and the intervention types in relation to complications were analyzed.ResultsIn the terms of hindfoot varus, midfoot adductus, forefoot supination, and dorsal bunions, the prevalence of these deformities was higher in group (A). Group (B) patients tolerated braces (88.9 %) better than group (A) patients (84.0 %). More adjunct procedures were required in group (A) than group (B) Furthermore, the frequency and types of complications, as well as the need for further surgeries were also higher in group (A). There was a higher rate of recurrence in group A than group B.ConclusionsTalectomy is an effective procedure for the treatment of persistent foot deformities despite associated complications. Surgical details and addressing associated deformities with adjunct surgical interventions should be considered.
Highlights
Studies describing the surgical approaches utilized for talectomy and their associated complications are scarce
Talectomy is rare in modern orthopedic surgery, it has been performed for many years
Study Setting Between January 2004 and December 2019, we carried out 62 talectomies in 48 pediatric patients with different pathologies at the King Faisal Specialist Hospital and Research Centre (KFSH&RC), Riyadh, Saudi Arabia [12]
Summary
Studies describing the surgical approaches utilized for talectomy and their associated complications are scarce. We aimed to compare the surgical techniques and associated procedures from two groups of patients who underwent talectomy using two approaches. Talectomy is rare in modern orthopedic surgery, it has been performed for many years. In 1971, Menelaus described that talectomy was useful in the management of the rigid talipes equinovarus [4]. Talectomy has been consistently used in the field of pediatric orthopedics, mainly for persistent rigid foot deformities, with reasonable results [5,6,7]. Since talectomy leads to inadequate bony support in the medial column of the foot, subsequent hindfoot equinovarus, midfoot adductus, and forefoot supination deformities have been observed [5, 8]. Many additional procedures, such as navicular excision and calcaneocuboid fusion have been associated with the initial procedure [9, 10]
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