Midterm Follow-Up of Talectomy for Severe Rigid Equinovarus Feet

El-Sherbini, Mostafa H.; Omran, Ahmed A.

doi:10.1053/j.jfas.2015.07.004

Cited by 27 publications

(12 citation statements)

References 18 publications

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“…Historically, surgical options have included pan-talar fusions, tibiotalarcalcaneal fusions, revascularization procedures, and even talectomy. [3][4][5][6] Unfortunately, these treatment options can leave patients with little ankle and hindfoot motion, can increase adjacent joint arthritis, and have significant failure rates. Of note, arthrodesis can have failure rates of up to 40%.…”

Section: Introductionmentioning

confidence: 99%

Early Outcomes of 3D Printed Total Talus Arthroplasty

Scott

Steele

Fletcher

et al. 2019

Foot & Ankle Specialist

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Background. Patients with talar avascular necrosis (AVN) have limited treatment options to manage their symptoms. Historically, surgical options have been limited and can leave patients with little ankle motion and have high failure rates. The use of custom 3D printed total talar replacements (TTRs) has arisen as a treatment option for these patients, possibly allowing better preservation of hindfoot motion. We hypothesized that patients undergoing TTR will demonstrate a statistically significant improvement in Foot and Ankle Outcome Score (FAOS) at 1 year after surgery. Methods. We retrospectively reviewed 15 patients who underwent a TTR over a 2-year period. Patient outcomes were reviewed, including age, sex, comorbidities, etiology of talar pathology, number and type of prior surgeries, radiographic alignment, FAOS and Visual Analog Scale (VAS) score, and range of motion. Data analysis was performed with Student t-tests and multivariate regression. Results. FAOSs and VAS scores showed statistically significant improvements postoperatively as compared with preoperative scores. There was a statistically significant decrease in VAS pain scores from 7.0 preoperatively to 3.6 (P < .001). Average follow-up was 12.8 months. With the number of patients available, there was no statistically significant change in radiographic alignment parameters postoperatively as compared with preoperatively (P values ranged from .225 to .617). Conclusion. Our hypothesis that these patients show statistically significant improvements in FAOSs at 1 year was confirmed. TTR represents an exciting treatment option for patients with talar AVN, though longer-term follow-up is needed. Level of Evidence: Level IV: Case series

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Section: Introductionmentioning

confidence: 99%

Early Outcomes of 3D Printed Total Talus Arthroplasty

Scott

Steele

Fletcher

et al. 2019

Foot & Ankle Specialist

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“…8 However, this is in contrast to the study of El-Sherbini and Omeran, which noticed marked change (p < 0.001). 4 This discrepancy might be due to the change occurring with the long-term follow-up advocated in the previous study. The talocalcaneal index which is the summation of the anteroposterior and lateral talocalcaneal angles was nearly similar to that obtained by Kumar et al 30 This index has been suggested by Beatson and Pearson who stated that values greater than 40 are indicating a normal foot.…”

Section: Discussionmentioning

confidence: 82%

“…10 These results are similar to that reported by El-Sherbini and Omeran who found no patients were of poor results. 4 Also, Menelaus 9 noticed good results in 79% following surgery. 7 The author added that the rigidity of the newly formed joint between tibia and calcaneus was not greater than the rigidity of the ankle joint prior to surgery.…”

Section: Discussionmentioning

confidence: 92%

“…The surgical options for such cases include release of soft tissues creating the deforming forces, triple arthrodesis, Ilizarov correction using an external fixator, and talectomy. 4 Talectomy was first performed for management of cases of paralytic calcaneovalgus deformity. Nowadays, it is seldom considered for such purpose but most often used as the salvage procedure for treatment of severe resistant cases of clubfoot deformities.…”

Section: Introductionmentioning

confidence: 99%

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Role of Talectomy in Severe Resistant Clubfoot in Children

Hegazy¹,

Khairy²,

El-Aidy³

2019

Journal of Foot and Ankle Surgery (Asia Pacific)

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Despite of the global attention paid to talectomy in management of severe, rigid, and resistant deformities of clubfoot, no evaluation of this procedure has been done before in our institution. The aim of work was to evaluate the outcome of surgical removal of talus in these patients. Seventeen severe, rigid, and resistant clubfeet in 10 patients undergoing talectomy were evaluated pre-and postoperative at the Department of Orthopedic Surgery, Zagazig University hospitals, Al-Sharkia, Egypt. The collected data were statistically analyzed. Out of the 10 investigated cases, there were seven males and three females. Seven (70%) cases were bilaterally affected; only three (30%) were one-sided affected. They were one left-sided in two cases and the other was right-sided. Their age ranged 1-5 years with a mean of 30.2 ± 13.3 months. There were good results in 11 (65%) cases out of the 17 operated. Fair results were found in 6 (35%) cases. Three from the 6 feet with fair results following talectomy showed residual cavus; and the others were noticed with residual hindfoot varus with slight inversion and adduction of the forefoot. All cases were with stable and plantigrade foot. In general, patients of both good and fair results were being able to wear shoes and to walk independently with pain free movements. Talectomy could be considered as a single salvage procedure for cases of clubfoot suffering from rigid, resistant and severe deformities. It is a safe procedure with no major complications; and gives satisfactory results.

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“…Opisane su brojne metode kako bi se postigao navedeni cilj, pa su tako opisane metode uz korištenje vijaka, klanfi, ploča, vanjskih fiksatora, a u novije vrijeme intramedularnog kompresivnog čavla. Kako bi se postigao željeni položaj kod većih deformiteta često je potrebno u cijelosti ukloniti talus 11 . Ovakvi zahvati popraćeni su visokim postotkom komplikacija, a posebice nesraštava-njem koje se prema podatcima iz literature kreće od 4 -24 % 8,12,13 , što je posebice slučaj ako su artrodezi prethodile druge operacije 14 .…”

Section: Raspravaunclassified

Correction of adult posttraumatic rigid severe pes equinovarus with tibiotalocalcaneal retrograde nailing

et al. 2017

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Sažetak. Uvod: Liječenje zapuštenih slučajeva posttraumatskog pes equinovarusa u odrasloj dobi veoma je zahtjevno. Radi se o rigidnim deformacijama stražnjeg dijela stopala koje su popraćene uznapredovalim osteoartrotskim promjenama. U korekciji deformiteta potrebna je primjena kombinacije koštanih i mekotkivnih zahvata. Prikaz slučaja: U ovom radu prikazano je liječenje posttraumatskog deformiteta stopala s varusom gležnja od 40o i equinus deformacijom od 120o, te uz nazočnost uznapredovalih artrotskih promjena. Pacijent je liječen primjenom retrogradnog tibiotalokalkanealnog čavla. Zaključak: Primjenom retrogradnog tibiotalokalkanealnog čavla mogu se uspješno korigirati velike, rigidne i kompleksne deformacija stražnjeg dijela stopala, postići brzo koštano preraštanje te umanjiti rizik od nastanka komplikacija u visokorizičnih pacijenata.Ključne riječi: artrodeza; equinovarus; stopalo Abstract. Introduction: Neglected pes equinovarus deformity at the adulthood is difficult to correct. It is usually a rigid deformity associated with arthritic changes of the hindfoot joint. Combined bone and soft tissue procedure is necessary to correct the deformity. Case report: We present a case of acquired severe rigid pes equinovarus in adulthood with varus ankle of 40o and equines deformity of 120o with concomitant degenerative osteoarthritic changes of the ankle joint. The deformity was successfully corrected with use of tiob-talo-calcaneal retrograde nail. Conclusion: The acquired severe complex and rigid deformity of the hind foot in adult could be successfully treated with use of retrograde tibio-talo-calcaneal nailing techniques. With this technique good bone remodeling can be achieved as well as reduction of the risk of complications.

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Midterm Follow-Up of Talectomy for Severe Rigid Equinovarus Feet

Cited by 27 publications

References 18 publications

Early Outcomes of 3D Printed Total Talus Arthroplasty

Early Outcomes of 3D Printed Total Talus Arthroplasty

Role of Talectomy in Severe Resistant Clubfoot in Children

Correction of adult posttraumatic rigid severe pes equinovarus with tibiotalocalcaneal retrograde nailing

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