Congenital vertical talus. The results of staged operative reduction

Walker, A. M.; Ghali, NN; Silk, FF

doi:10.1302/0301-620x.67b1.3968130

Cited by 38 publications

(20 citation statements)

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“…Subtalar arthrodesis is often required in patients aged 3-8 years, but they experience post-operative stiffness and pain. According to Walker et al [18], a soft tissue release After 15 ± 6.7 Fig. 1 Clinical pre-treatment picture of a \12 months old patient operation had desirable outcomes in congenital vertical talus.…”

Section: Discussionmentioning

confidence: 99%

“…Previous surgical methods have been associated with some complications, including wound necrosis, talar necrosis, under-correction of the deformity, joint stiffness, and pseudoarthrosis. Many of these patients need multiple operations following the primary surgical treatments, such as subtalar and triple arthrodesis, in their future life [18][19][20][21][22][23]. Also, there is significant controversy about the number and location of ideal incisions to surgically correct the vertical talus, as well as about correcting the deformities in one or two stages.…”

Section: Discussionmentioning

confidence: 99%

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Primary outcomes of the congenital vertical talus correction using the Dobbs method of serial casting and limited surgery

Aslani¹,

Sadigi²,

Tabrizi³

et al. 2012

Journal of Children's Orthopaedics

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Introduction The traditional treatment for congenital vertical talus, which involves serial casting and extensive soft-tissue releases, has been associated with severe stiffness and other complications in adolescents and adults. Our hypothesis is that favorable results will be obtained using the Dobbs method of serial manipulation, casting, and limited surgery for vertical talus correction, even in older children and syndromic cases. Therefore, the present study aimed at evaluating the Dobbs method in such cases. Materials and methods We treated 15 feet of 10 patients (aged from 1 month to 9 years) using manipulation and serial casting or the reverse Ponseti method followed by percutaneous Achilles tenotomy and limited open reduction of the talonavicular joint. All patients were evaluated both clinically and radiologically in a mean follow-up period of 2 years. Results After 2 years, all patients had plantigrade and flexible feet with good radiographic correction. The mean talocalcaneal angle before (70.5°± 10.5) and after (31°± 5.2) treatment and the talar axis metatarsal base angle before (60°± 11.4) and after (15°± 6.7) treatment were significantly improved (P \ 0.001). Discussion Recent research has shown that manipulation and serial casting followed by limited surgery (Dobbs method) was successful in treating idiopathic congenital vertical talus. Our results also showed that this method resulted in an excellent outcome in both idiopathic and syndromic congenital vertical talus, even in older children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Primary outcomes of the congenital vertical talus correction using the Dobbs method of serial casting and limited surgery

Aslani¹,

Sadigi²,

Tabrizi³

et al. 2012

Journal of Children's Orthopaedics

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show abstract

“…Most surgeons now prefer a one-stage procedure [5,34,[40][41][42][43][44][45] because of fewer complications like avascular necrosis of the talus seen with the two-stage procedure [5]. The one-stage correction can be done through a dorsal approach or a posterior approach.…”

Section: Traditional Surgical Treatmentmentioning

confidence: 99%

A new approach to the treatment of congenital vertical talus

Alaee

Boehm

Dobbs

2007

Journal of Children's Orthopaedics

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Congenital vertical talus is an uncommon foot deformity that is present at birth and results in a rigid flatfoot deformity. Left untreated the deformity can result in pain and disability. Though the exact etiology of vertical talus is unknown, an increasing number of cases have been shown to have a genetic cause. Approximately 50% of all cases of vertical talus are associated with other neuromuscular abnormalities or known genetic syndromes. The remaining 50% of cases were once thought to be idiopathic in nature. However, there is increasing evidence that many of these cases are related to single gene defects. Most patients with vertical talus have been treated with major reconstructive surgeries that are fraught with complications such as wound necrosis, talar necrosis, undercorrection of the deformity, stiffness of the ankle and subtalar joint, and the eventual need for multiple operative procedures. Recently, a new approach to vertical talus that consists of serial casting and minimal surgery has resulted in excellent correction in the short-term. Longer follow-up will be necessary to ensure maintenance of correction with this new technique. A less invasive approach to the correction of vertical talus may provide more favorable long-term outcomes than more extensive surgery as has been shown to be true for clubfoot outcomes.

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“…Walker-Score zur Bewertung kongenitaler Plattfüße [19]. Table 2 Walker Score for the assessment of developmental flatfoot [19].…”

Section: Tabellementioning

confidence: 99%

“…Table 2 Walker Score for the assessment of developmental flatfoot [19]. Nach unseren klinischen Nachkontrollen verblieben 35 Patienten (59 Füße), 22 männliche und 13 weibliche.…”

Section: Tabelleunclassified

Die operative Korrektur des echten Talus verticalis

Schwering

2005

Orthop Traumatol

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This procedure was done in 74 feet of 45 patients. Follow-up of 59 feet in 35 patients after an average of 7 years and 3 months. At the time of surgery the youngest patient was 6 months old and the oldest 25 years and 6 months (average 4 years and 6 months). Assessment of results using the parameters of Walker et al. An average of 12.5 out of 16 points was reached. The loss of function was mostly due to the underlying diseases such as arthrogryposis, spina bifida or cerebral palsy. One pin site infection, one osteomyelitis, one pressure sore in the cast, and five wound healing disturbances were observed.

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Congenital vertical talus. The results of staged operative reduction

Cited by 38 publications

References 0 publications

Primary outcomes of the congenital vertical talus correction using the Dobbs method of serial casting and limited surgery

Primary outcomes of the congenital vertical talus correction using the Dobbs method of serial casting and limited surgery

A new approach to the treatment of congenital vertical talus

Die operative Korrektur des echten Talus verticalis

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