Talectomy in patients with recurrent deformity in club foot. A long-term follow-up study.
We reviewed 24 feet in 15 patients who had undergone talectomy for recurrent equinovarus deformity; 21 were associated with arthrogryposis multiplex congenita, two with myelomeningocele and one with idiopathic congenital talipes equinovarus. The mean follow-up was 20 years. Good results were achieved in eight feet (33%) in which further surgery was not needed and walking was painless; a fair result was obtained in ten feet (42%) in which further surgery for recurrence of a hindfoot deformity had been necessary but walking was painless; the remaining six feet (25%) were poor, with pain on walking. All patients wore normal shoes and could walk independently, except one who was wheelchair-bound because of other joint problems. Recurrent deformity, the development of tibiocalcaneal arthritis and spontaneous fusion of the tibia to the calcaneum were all seen in these patients.
Legaspi
J
J
Duchess of Kent Children's Hospital, Sandy Bay, Hong Kong.
Li
Y H
YH
Chow
W
W
Leong
J C
JC
D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011859:Radiography; D012008:Recurrence; D012086:Reoperation; D013628:Talus / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D016138:Walking