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Volume 10, Issue 2 (6-2007)                   J Arak Uni Med Sci 2007, 10(2): 1-6 | Back to browse issues page

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Borjian A, Nassresfahani H, Masudi F. Investigation of the surgical treatment results in children with clubfoot, a sinning posteromedial and lateral approach in Al-Zahra hospital. J Arak Uni Med Sci. 2007; 10 (2) :1-6
URL: http://jams.arakmu.ac.ir/article-1-4-en.html
1- , hnaortho2006@yahoo.com
Abstract:   (25641 Views)
Introduction: Clubfoot is one of the most common foot deformities in children. The initial treatment of clubfoot is nonsurgical. The succes rate of this treatment is 5-80%. If clubfoot does not respond to this treatment, surgery is indicated. Surgical treatment of clubfoot has several complications. The preferred method of surgical release in textbooks is a modified Mc Kay procedure with Cincinnati incision but it may have various complications such necrosis, excessive scar, infection, dehiscence and recurrence. The purpose of this article is to investigate surgical treatment of clubfoot with two incision procedure instead of Cincinnati incision. Materials and Methods: In this descriptive study 50 children (81 feet) with clubfoot disease who did not respond to nonsurgical treatment, since 1999 until 2002, in Al-Zahra hospital were selected and underwent soft tissue release procedure by posteromedial and lateral incisions. After operation they were followed for at least two years. Every six months patients were assessed for early postoperative complications, clinical and radiologic recurrence. Data was presented using descriptive statistics. Results: 74% of patients were male. Their mean age was 3.40.69. There was positive family history in 14% of patients. Clinical recurrence was seen in 6 patients, (9 feet) (5 male, one female) that all had bilateral involvement. The most common type of recurrence was metatarsus adductus. There was no skin necrosis or deep wound infection after surgery but 2 cases of superficial infection was seen which were treated by drugs. Conclusion: Regarding the excellent results of this procedure and obtained correction and the least skin complications in comparison to textbooks we suggest the two incision procedure instead of Cincinnati incision in treatment of most club foots
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Subject: General
Received: 2008/08/3

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