Role of talocalcaneal osteotomy in clubfoot surgery: results in 31 surgically treated feet.
The most important deformities in clubfeet can be demonstrated by simultaneous arthrography of the talonavicular and talocrural joints. In patients with a severe talar deformity, wedge osteotomy through the talar neck and calcaneus has been performed as a prerequisite for correction. Our series consisted of 20 patients with 31 idiopathic clubfeet with pronounced talar deformity. The mean observation time after osteotomy was 11 years 3 months. The principles and aims are described, as are the indications for talocalcaneal osteotomy. Results were good in 19 feet (60%), fair in six (20%), and poor in six (20%).
Hjelmstedt
A
A
Department of Orthopaedics, Uppsala University, Sweden.
Sahlstedt
B
B
D001175:Arthrography; D002111:Calcaneus / Q000601:surgery*; D002675:Child, Preschool; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010027:Osteotomy / Q000379:methods / Q000592:standards*; D010808:Physical Examination; D012008:Recurrence; D013628:Talus / Q000601:surgery*