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Comparison of posteromedial and subtalar release in surgical treatment of resistant clubfoot

Rombouts, Jean-Jacques
Rossillon, Renaud
Published in Orthopedics. 2002, vol. 25, no. 5, p. 527-9;discussion530
Abstract This preliminary study evalluated two surgical techniques for the treatment of resistant clubfoot: the posteromedial and the subtalar release. Two groups of matched patients with idiopathic clubfoot who underwent surgery between 1983 and 1995 were compared. In group 1 (12 patients, 18 feet), posteromedial release was performed. In this group, the results were satisfactory with a tendency to hypocorrection: 4 (22%) feet needed a secondary procedure (average follow-up: 97.8 months). Group 2 (12 patients, 17 feet) underwent complete subtalar release. The results were clinically better for group 2 (average follow-up: 38.8 months). Only 1 (5.9%) patient needed a secondary procedure. These results suggest complete subtalar release yields better postoperative correction than posteromedial release.
Keywords AdultClubfoot/physiopathology/surgeryHumansOrthopedic Procedures/methodsRange of Motion, ArticularReoperationSubtalar Joint/surgeryTreatment Outcome
PMID: 12046913
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Research group Chirurgie orthopédique et traumatologique (98)
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TSCHOPP, Olivier Marcel, ROMBOUTS, Jean-Jacques, ROSSILLON, Renaud. Comparison of posteromedial and subtalar release in surgical treatment of resistant clubfoot. In: Orthopedics, 2002, vol. 25, n° 5, p. 527-9;discussion530. https://archive-ouverte.unige.ch/unige:46859

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Deposited on : 2015-02-19

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