Relapse rates following staged surgery in the treatment of recalcitrant talipes equinovarus: 9- to 16-year outcome study
Open Access
- 1 July 2007
- journal article
- Published by SAGE Publications in Journal of Children's Orthopaedics
- Vol. 1 (2), 115-119
- https://doi.org/10.1007/s11832-007-0024-6
Abstract
Purpose: We aimed to identify the long-term rate of relapse of deformity in a cohort of children with talipes equinovarus and to correlate it with pre-operative grading. Methods: Between 1988 and 1995, 120 club feet in 86 patients were surgically treated. A review at an average follow-up of 11.5 years (range 9–16 years) was performed. Of 59 of the children, 69 feet were assessed clinically and data for the remaining 20 children (30 feet) were obtained from the records. The patients were assessed using the method of Bensahel and Dimeglio but radiological analysis was omitted. Functional and morphological evaluation was recorded. Results: Initial grades were grade 2 in 26 feet (26%), grade 3 in 48 feet (49%) and grade 4 in 25 feet (25%). Relapse occurred in one case in grade 2 (3.8%), 13 feet in grade 3 (27%) and in 19 in grade 4 (76%). Since an initial review in 1997, a further 12.5% of grade 3 and 25% of grade 4 feet have relapsed. Overall function did not correlate with severity of deformity. Conclusion: Relapse continues to occur after surgery during the first decade. There is a high rate of relapse (76%) in grade 4 feet.Keywords
This publication has 18 references indexed in Scilit:
- The natural history and longitudinal study of the surgically corrected clubfootThe Journal of Foot and Ankle Surgery, 2000
- The Functional Outcome of Staged Surgery for the Correction of Talipes EquinovarusJournal of Pediatric Orthopaedics, 2000
- Relapse in staged surgery for congenital talipes equinovarusThe Journal of Bone and Joint Surgery, 2000
- Long-Term Results of the Operative Treatment of Clubfoot: A Representative StudyOrthopedics, 1998
- Final Evaluation of ClubfootJournal of Pediatric Orthopaedics B, 1995
- Classification of ClubfootJournal of Pediatric Orthopaedics B, 1995
- The Medial Sagittal Approach in the Treatment of the Congenital ClubfootPublished by Ovid Technologies (Wolters Kluwer Health) ,1994
- Posterolateral release for resistant club foot.1994
- Comparative Review of Surgical Treatment of the Idiopathic Clubfoot by Three Different Procedures at Columbus Childrenʼs HospitalJournal of Pediatric Orthopaedics, 1989
- Congenital ClubfootActa Orthopaedica, 1974