Treatment Of Resistant Clubfoot Research Articles

Treatment of Resistant Clubfoot with Soft Tissue Release and Alkhooly External Fixator

After the first research with this technique done by the first author, ten operations on the foot and ankle were performed on five patients (two boys and three girls) suffering from severe club foot deformity all with bilateral foot affection. Their ages ranged from five to fourteen years. All of them were treated by soft tissue release, skin flap (rotational flap), supplemented with Alkhooly external fixator. The follow up period ranged from two to seven years. The results according to Mittal (1987) [1] were excellent in eight feet (80%) and good in two feet (20%).

The Ilizarov Method for the Treatment of Resistant Clubfoot: Is It an Effective Solution?

The Ilizarov Method for the Treatment of Resistant Clubfoot: Is It an Effective Solution?

Eight year's experience with soft tissue release and Alkhooly external fixator in the treatment of resistant clubfoot

Summary From Aug 1992 to Feb 2001, thirty-two operations on the foot and ankle were performed in the Department of Orthopedics and Traumatology of El-Minia University Hospital in 24 children, 16 boys and 8 girls suffering from severe clubfoot deformity. There were eight cases with bilateral and 16 with unilateral affection. Their ages ranged from three to three and a half years. One of the unilateral deformed patients was aged 13 years and had severe equinovarus deformity due to burn contracture. One case aged 14 years had bilateral deformity that was treated when she was 2 years old and upon recurrence, it was neglected until that age. They were treated by soft tissue release and skin flaps with either rotation or multiple Z-plasty supplemented with the Alkhooly external fixator. The followup period ranged between 4 and 8 years. The results according to Mittal (1987) were excellent in 23 feet (71.9%), good in 8 feet (25%) and poor in one foot (3.1%).

A perspective focus on the indicated surgical treatment of resistant clubfoot in the infant.

Ligamentous contracture is the chief factor in maintaining clubfoot deformity. Precise plans of segmental ligamentous release are called "selective segmental syndesmotomies." Critical segmental assessment by roentgenograms is required to choose the proper syndesmotomy. Proper early correction of resistant subtalar and midtarsal deformity by selective segmental syndesmotomy can solve much of the persistent trouble confronting the surgeon.

A Method for the Treatment of Resistant Congenital Club Foot in Infants by Gradual Correction with Leverage-Wire Correction and Wire-Traction Cast

A method for the treatment of resistant club-foot deformities in children up to six years of age is described. After heel-cord lengthening, occasionally combined with posterior capsulotomy, leverage-wire traction is applied directly to the calcaneus by means of a Kirschner wire and padded footplate, both of which are incorporated in a plaster cast between manipulations. After correction of the equinus and varus deformities of the heel, the wire is removed and subsequent correction is completed by manipulation and plaster casts. Satisfactory immediate correction was obtained in forty-eight of fifty-two feet in children ranging in age from four months to more than six years. Thirty-five feet have been followed for from two to nine years, an average follow-up of four years and two months. The results were rated excellent in nine feet, good in thirteen, fair in six, and poor in seven. The procedure should be used only in children under six years of age with resistant club feet that have not responded to conventional manipulative treatment. Adequate after-care is essential.

Operative Treatment of Resistant Club-Foot

Operative Treatment of Resistant Club-Foot

On the Use of Force in the Treatment of Resistant Club-Foot

On the Use of Force in the Treatment of Resistant Club-Foot