[Comparison of the mid-term results of complete subtalar release by the Cincinnati and the posteromedial incisions in clubfoot].
OBJECTIVE
Clinical and radiological results of complete subtalar release operations on idiopathic congenital clubfoot patients were compared for the Cincinati and the posteomedial incisions.


METHODS
Twenty-six patients (40 feet) that underwent complete subtalar release using the Cincinnati incision (group 1; 18 patients, 27 feet [12 boys, 6 girls; mean age 7.4 +/-3.8 month; range 5-24 months]) and posteromedial incision (group 2; 8 patients, 13 feet [6 boys, 2 girls; mean age 10.1 +/- 4.3 month; range 4-16 months]) for idiopathic congenital clubfoot with at least one year followup were assessed. Tarsal bone problems, intraoperative and postoperative complications were analyzed separately.


RESULTS
According to the Simon's criteria, the clinical results were successful in 27 feet (100%) in group 1 and in 11 feet (85%) in group 2 (p > 0.05). Radiological results were successful in 16 feet (59%) in group 1 and in two feet (15%) in group 2 (p< 0.05). Superficial skin necrosis occurred in five feet (18.5%) in group 1 at the early postoperative period and all resolved with conservative treatment. Skin necrosis did not occur in group 2 (p > 0.05). The cast was bivalved and opened due to soft tissue swelling at the early postoperative period in 21 feet (77.8%) in group 1 and only in one foot (7.6%) in group 2 (p < 0.05).


CONCLUSIONS
Posteromedial incision is a suitable and safety incision for complete subtalar release.
Karakurt
Lokman
L
Firat Universitesi Tip Fakültesi Ortopedi ve Travmatoloji Anabilim Dali, Elaziğ, Türkiye. lkarakurt@hotmail.com
Belhan
Oktay
O
Varol
Tahir
T
Yilmaz
Erhan
E
Serin
Erhan
E
D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D009336:Necrosis / Q000628:therapy; D019637:Orthopedic Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000628:therapy; D012867:Skin / Q000473:pathology; D016896:Treatment Outcome