Abstract
Idiopathic clubfoot has a stubborn tendency for relapse, with most relapses happening within the first few years. However, a few patients relapse later, adding to the complexity of management. This study investigates the treatment results of relapsing clubfoot deformity after age 4. Thirty-nine patients (60 feet) met the inclusion criteria. Age at initial treatment, previous treatment, number of casts and tenotomies, length of bracewear, and relapse presentation were recorded. Treatment of late relapse followed 1 of the 5 courses: (1) observation only (4 feet); (2) bracing (26 feet); (3) casting followed by bracing (7 feet); (4) casting followed by tibialis anterior tendon transfer (TATT) with or without open tendo Achilles lengthening (TAL) (8 feet); or (5) primary TATT±TAL (15 feet). Of the 37 feet treated initially with observation, bracing, or casting, 33 went on to have TATT (89%). Multiple other concurrent procedures were performed according to the specific deformities. These included plantar fasciotomy (6 feet), extensor hallicus longus recession (5 feet), limited posterior release 5 feet, and others (3 feet). Five feet underwent revision surgery after TATT, 2 of which ended in triple arthrodeses. Average age at final fo...Continue Reading
References
Jun 1, 1987·Foot & Ankle·M J GalindoT E Cain
Oct 1, 1995·The Journal of Bone and Joint Surgery. American Volume·D M Cooper, F R Dietz
Jul 10, 1999·Journal of Pediatric Orthopedics. Part B·W B LehmanJ Lindsey
May 17, 2000·The Journal of Bone and Joint Surgery. British Volume·C F Bradish, S Noor
Oct 21, 2003·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Michael Colburn, Matthew Williams
Jan 9, 2004·The Journal of Bone and Joint Surgery. American Volume·Matthew B DobbsChristina A Gurnett
Feb 3, 2004·Pediatrics·Jose A MorcuendeIgnacio V Ponseti
Feb 6, 2004·International Orthopaedics·H El BarbaryM Hegazy
Jan 28, 2006·Journal of Pediatric Orthopedics·Pasquale FarsettiErnesto Ippolito
Citations
Aug 10, 2013·International Orthopaedics·Christof Radler
Mar 9, 2013·Journal of Medical Internet Research·Florin OprescuJose A Morcuende
Jul 9, 2013·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Mohamed El-Sayed
Apr 2, 2016·Journal of Children's Orthopaedics·Nicolas BocahutPhilippe Souchet
Sep 4, 2014·The Bone & Joint Journal·Y GelferD M Eastwood
Oct 22, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·S El BattiV Rampal
Nov 22, 2016·The Journal of Bone and Joint Surgery. American Volume·Massimiliano DragoniErnesto Ippolito
Dec 13, 2017·The Journal of International Medical Research·Xiao-Jian WangLei Wei
Feb 17, 2018·Foot & Ankle International·Michael Seungcheol KangSoo-Sung Park
Jul 6, 2016·Journal of Pediatric Orthopedics·Lewis E ZiontsSophia N Sangiorgio
Feb 9, 2017·Journal of Pediatric Orthopedics·Pooya HosseinzadehJose Morcuende
Nov 19, 2014·World Journal of Orthopedics·Lior ShabtaiJohn E Herzenberg
May 23, 2019·JBJS Reviews·Hannah M ThomasLewis E Zionts
Oct 8, 2014·Journal of Pediatric Orthopedics·Lewis E Zionts
Aug 18, 2017·ANZ Journal of Surgery·Xiao Jian WangLei Wei
Jan 24, 2017·Journal of Pediatric Orthopedics. Part B·Ilaria SanzarelloCesare Faldini
Jul 6, 2014·Journal of Pediatric Orthopedics·Matthew R LuckettTodd A Milbrandt
May 1, 2021·Children·Maurizio De PellegrinGiovanni Prati
May 25, 2021·Journal of Clinical Orthopaedics and Trauma·Anil AgarwalPrateek Rastogi