Operative Result of Resistant Congenital Talipes Equinovarus Cases: Our Experience

Abstract

Congenital Talipes Equinovarus is the most common foot deformity and its incidence is approximately one in 1000 live births. 1 Congenital talipes equinovarus is a complex deformity and has a tendency to recur until the age of six or seven years. 2 Treatment varies from non-operative method 3 to a variety of surgical techniques. 4 AIMThis study aims to assess the results of operative treatment in CTEV cases. It is our humble hope that this work would throw some light on this demanding, resource consuming problems and management in our setup and with our scarce resources. MATERIALSThirty six patients with sixty deformed feet were taken for one stage posterior medical soft tissue release who were admitted in the Department of Orthopaedic Surgery, Fakhruddin Ali Ahmed Medical College and Hospital, Barpeta, in the year 2011 to 2016. The average follow-up is 2.8 years. METHODSAll patients are treated with manipulation and plaster cast immobilisation prior to surgery. Those who did not respond well to plaster cast technique are subjected for one stage posterior medial soft tissue release. RESULT57 of 60 feet produced successful result according to Pirani score system. Excellent in 13 feet, Good in 36 feet, Unsuccessful result in 3 feet. CONCLUSIONIn view of successful result in 95% feet with fewer complications, one stage posterior medial soft tissue release approach merits continued use in cases of resistant congenital Talipes equinovarus.