Aesthetic Improvement of Undeveloped Calves After Treatment of Congenital Clubfoot Deformity

Aesthetic Surgery Journal
Katarina AndjelkovMiodrag Colic

Abstract

Even when clubfoot deformity is treated in a timely manner, the consequences observed in adulthood include hypoplasia of the calf muscles, gait impairment, decreases in foot size, and it can also affect the tibial length. These consequences may have negative impacts on the patient's subjective appraisal of long-term outcomes, and can influence the patient's self-esteem in both male and female patients. We present our experience in the treatment of undeveloped calves after surgical treatment of congenital clubfoot. In total, 72 patients underwent corrective surgery in order to improve undeveloped calves resulting from a congenital clubfoot deformity. We used calf silicone implants in combination with fat grafting in multistaged procedures, in order to decrease complication rates and improve aesthetic outcome. Amongst our patients there were 54 (75%) females and 18 (25%) males. All of the patients, except one, had unilateral calf hypoplasia. The procedures were divided into several groups: (1) medial calf augmentation with silicone implants; (2) medial calf augmentation with silicone implants and fat grafting; and (3) medial and lateral calf augmentation with silicone implants and fat grafting. We had one case of a hyperpigmented...Continue Reading

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Citations

Mar 28, 2020·Aesthetic Surgery Journal·Katarina AndjelkovRamon Llull
Mar 15, 2019·Aesthetic Plastic Surgery·Dario Melita, Alessandro Innocenti
Nov 25, 2020·Aesthetic Surgery Journal·Igor Niechajev

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