[Congenital metatarsus varus. Value of orthopedic treatment and role of surgery. Apropos of 290 cases].
The authors have reviewed 252 children with congenital metatarsus varus as distinct from club foot with an adequate follow up. They describe fully conservative treatment of the condition and conclude that true correction was obtained in about 80 p. 100 of cases by the age of 3 years and that another 16 p. 100 healed between the ages of 3 and 5 years. There are only about 4 p. 100 of cases which are complex and do not correct. The authors emphasize the fact that among 96 p. 100 of corrections the conservative treatment had no influence whatsoever. When the foot does not correct by the age of 5 years surgery is indicated. Heymann's procedure of correction at Lisfranc's joint seems to give the best results.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008684:Metatarsus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D009985:Orthopedics; D026741:Physical Therapy Modalities; D011859:Radiography; D012775:Shoes
Le metatarsus varus congénital. Valeur du traitement orthopédique et place de la chirurgie. A propos de 290 cas.