title: [Analysis of intraoperative complications during surgery for clubfoot].
abstract: The paper presents an analysis of the complications accompanying surgical treatment of congenital club feet. In the year 1966-1993 178 feet in 149 patients aged ranging from 5 to 140 months (mean age 17.5 months. In 57 cases a posterior capsulotomy with lengthening of the Achilles tendon was performed, in 121 cases a total sub-talar release was performed. Complications wee classified as intra-operative and early and late post-operative. A total of 85 complications in 44 patients were observed, which amount to 44.7% of the cases. In 16 cases intra-operative complications were a result of technical mistakes during the procedure (severing of a tendon, blood vessel or joint). Post-op complications were due to wound healing disturbances in 28 cases and necrotic changes in 12 cases. Sub-talar release gives a larger number of complications (55.4%) compared to posterior capsulotomy with Achilles tendon lengthening (31.6%).
authors.affiliation: Katedra i Klinika Ortopedii, Akademia Medyczna w Łodzi.
authors.forename: T J
authors.initials: TJ
authors.lastname: Zwierzchowski
authors.forename: M
authors.initials: M
authors.lastname: Synder
authors.forename: K
authors.initials: K
authors.lastname: Niedzielski
authors.forename: T
authors.initials: T
authors.lastname: Dorman
mesh_terms: D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007431:Intraoperative Complications / Q000453:epidemiology*; D008297:Male; D011044:Poland; D011183:Postoperative Complications / Q000453:epidemiology*