Modified Turco Procedure for Treatment of Idiopathic Clubfoot

Abstract

Therapeutic study, Level IV (case series-no, or historical control group). See Guidelines for Authors for a complete description of levels of evidence.

Ponseti Method: Does Age at the Beginning of Treatment Make a Difference?

“…It is generally recognized the results provided by the Ponseti technique are superior to those accomplished with other treatments, either nonsurgical or surgical [8,10,17,21,37]. Although the Ponseti treatment is not free of complications [5,9], we encountered no major problems.…”

Long-term Results of Treatment of Congenital Idiopathic Clubfoot in 187 Feet

“…34,35 Early surgery (6 to 9 mo of age 2,3,20,21,31,35 ) causes The distal intra-articular resection of the calcaneus 11 is not performed in first intention in the literature, but forefoot adduction is one of the most frequently recurring deformities in CF 2,34,37 and can be prevented by this technique, preserving mobility between the calcaneus and the cuboid bone 12 and reducing the rate of recurrence of this deformity. 1,37,40,42 All authors agree that the cast should be maintained for 2 to 4 months, sometimes changed every 2 to 4 weeks. 42 Postoperative care is mandatory after surgery of clubfeet.…”

“…Following our results, we suggest that to obtain a good result the foot should be corrected completely in a single attempt. 1,37 Night splints should be worn for many years to prevent recurrence, and compliance to treatment is one of the most important factors concerning the evolution of feet treated with the functional method. 1,37,40,42 All authors agree that the cast should be maintained for 2 to 4 months, sometimes changed every 2 to 4 weeks.…”

“…Early surgery may also lead to an overlengthening of the Achilles tendon, causing weakness in the monopod jump 35. Different surgical strategies are used at the discretion of the surgeon 1,[36][37][38][39][40][41]. Different surgical strategies are used at the discretion of the surgeon 1,[36][37][38][39][40][41].…”

Congenital Clubfoot in Children After Walking Age: Management and Evaluation of 41 Feet with the Dimeglio Score

“…For the subsequently surgical correction, Turco modified procedure [12] was used [Table/ Fig-2]. After surgery repeated plasters were performed to maintain the correction, in normal or hypercorrection position during 6 weeks.…”