Congenital convex pes valgus (congenital vertical talus). The condition and its treatment: a review of the literature.
Much discussion exists about the best operative technique to treat congenital convex pes valgus. In this article a table of surgical approaches and an algorithm, based upon literature review, are presented. In our opinion the technique of choice in a child younger than 2 years of age is extensive release with lengthening of tendons and fixation procedures. In a child over 2 years of age, extensive release with tendon transfer is the preferred procedure. When this procedure has failed, naviculectomy with extensive release and tendon transfer, or subtalar / triple arthrodesis must be considered.
Bosker
Bart H
BH
Department of Orthopaedic Surgery, Isala Klinieken, Weezenlanden Hospital, Zwolle, The Netherlands.
Goosen
Jon H M
JH
Castelein
René M
RM
Mostert
Adriaan K
AK
D000465:Algorithms; D002675:Child, Preschool; D005413:Flatfoot / Q000601:surgery*; D006801:Humans; D007223:Infant; D013709:Tendon Transfer; D013710:Tendons / Q000601:surgery