Résection de l’os naviculaire pour déformation sévère du médio-pied de l’enfant

Laudrin, P; Wicart, Philippe; Seringe, R.

doi:10.1016/s0035-1040(07)90330-x

Cited by 8 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17 Historically, treatment for recurrence in these patients has ranged from salvage procedures such as triple arthrodesis to revision surgeries including naviculectomy and extensive soft tissue releases. [18][19][20] However, we are unaware of any studies that evaluate the outcomes of a modified version of the Dobbs method as a means for the treatment of these recurrent cases.…”

mentioning

confidence: 99%

“…However, recurrent radiographic subluxation of the talonavicular joint continues to be reported even in patients who undergo treatment with this new minimally invasive method as evidenced by recurrence rates as high as 67% in some series 17. Historically, treatment for recurrence in these patients has ranged from salvage procedures such as triple arthrodesis to revision surgeries including naviculectomy and extensive soft tissue releases 18–20. However, we are unaware of any studies that evaluate the outcomes of a modified version of the Dobbs method as a means for the treatment of these recurrent cases.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Relapsed Congenital Vertical Talus Deformity: Outcomes of a Modified Minimally Invasive Method

Cummings

Hosseinzadeh

2022

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background: To date, there is little literature that describes the optimal management for recurrent talonavicular subluxation after an initial attempt at surgical correction in children with congenital vertical talus (CVT). The purpose of this study is to evaluate the outcomes of a modified minimally invasive technique for the management of recurrent talonavicular subluxation in patients with CVT who have previously undergone at least 1 attempt at surgical correction. Methods: International Classification of Diseases codes were used to identify all patients with recurrent CVT deformity treated at our institution between 2006 and 2021. Retrospective chart review, including radiographic measurements of talocalcaneal and talar axis-first metatarsal base angles (TAMBA), was performed. Complications including recurrent talonavicular subluxation (lateral TAMBA >30 degrees) and hindfoot valgus (Anteroposterior talocalcaneal >40 degrees) were recorded. All statistical analysis was performed using an alpha of 0.05. Results: Seventeen patients (24 feet) met all inclusion criteria, 9 (52.9%) of whom had underlying neurological syndromes. The average age at repeat treatment initiation was 26±17 months (range: 7 to 60 mo). Talonavicular reduction was achieved in all patients as evidenced by an average of 24.6 degrees and 54.9 degrees of correction in the Anteroposterior and lateral TAMBA, respectively. Radiographic recurrence of the talonavicular deformity was seen in 12 feet (50.0%). Six (25.0%) of the feet in 4 patients required a revision surgery, all of which occurred in patients with underlying syndromes (P=0.02). The average patient-reported outcome measurement information system scores in the pain interference, mobility, and peer relations domains were 44.5±7.7, 44.1±13.5, and 54.8±9.9, respectively. Conclusions: Our midterm results suggest that many cases of recurrent CVT can be effectively managed through a modified minimally invasive revision surgery consistent with what has been described by Dobbs and colleagues for initial treatment. Further prospective studies with longer-term follow-up are warranted to confirm these findings. Level of Evidence: Level III.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%