Document Detail

Gastrocsoleus fascial release for correction of equinus deformity in residual or relapsed clubfoot.
MedLine Citation:
PMID:  23199856     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Regardless of the mode of treatment, clubfoot has a strong tendency to relapse, especially hindfoot equinus. Because contraction or shortening of the Achilles tendon causes an equinus deformity of the ankle, release of this tendon is required to correct equinus deformity in patients with residual or relapsed clubfoot. This study assessed the effectiveness of the Vulpius technique in correcting equinus deformity in patients with residual or relapsed clubfoot.
METHODS: Of the 80 idiopathic clubfeet treated conservatively using the Ponseti protocol, between March 2000 and July 2008, 32 were found to have residual or relapsed equinus deformity, with 22 feet in 17 patients undergoing Vulpius-type Achilles tendon lengthening. Mean age at the time of surgery was 29 (range, 6 to 52) months, and mean follow-up was 48 (range, 24 to 78) months. Clinical evaluation included the dorsiflexion angle of the ankle and radiographic evaluation included the talocalcaneal and tibiocalcaneal angles on dorsiflexion lateral views.
RESULTS: All 22 feet showed satisfactory results at last follow-up, with significant improvements in mean ankle dorsiflexion angle, mean tibiocalcaneal angle, and mean lateral talocalcaneal angle (p < .05 each).
CONCLUSION: The Vulpius procedure is an effective surgical procedure for correcting equinus deformity in residual and relapsed clubfeet.
Soo-Sung Park; Ho Seong Lee; Sang-Ho Han; Jin-Woong Park; Maria Josephine B de Peralta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle international     Volume:  33     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-03     Completed Date:  2013-03-12     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1075-8     Citation Subset:  IM    
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MeSH Terms
Achilles Tendon / surgery
Casts, Surgical
Child, Preschool
Clubfoot / radiography,  surgery*
Equinus Deformity / radiography,  surgery*
Fascia / surgery*
Muscle, Skeletal / surgery
Retrospective Studies
Tendons / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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