Clubfoot release in myelodysplasia.
The purpose of this study was to evaluate our experience with treatment of clubfoot in myelomeningocele. We evaluated 45 children with clubfoot surgically treated at a mean age of 36 months. We evaluated each patient's medical record and performed a physical examination. Based on the clinical criteria by de Carvalho Neto, we obtained 61% good results, 26% fair results and 13% poor results. Neither age at surgery nor neurosegmental level have any statistical influence on final outcome. We find that a radical posteromedial release without internal fixation is a satisfactory option for clubfoot with myelodysplasia.
Flynn
John M
JM
Department of Orthopaedic Surgery, University of Puerto Rico School of Medicine, San Juan, Puerto Rico. jmflynn@coqui.net
Herrera-Soto
Jose A
JA
Ramirez
Norman F
NF
Fernandez-Feliberti
Rafael
R
Vilella
Fernando
F
Guzman
Josue
J
D002370:Casts, Surgical; D003025:Clubfoot / Q000150:complications* / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009043:Motor Activity / Q000502:physiology; D009989:Orthotic Devices; D011183:Postoperative Complications; D012189:Retrospective Studies; D016137:Spina Bifida Cystica / Q000150:complications*; D016896:Treatment Outcome