Recurrent club-foot deformity following previous soft-tissue release: mid-term outcome after revision surgery.
The results of further soft-tissue release of 79 feet in 60 children with recurrent idiopathic congenital talipes equinovarus were evaluated. The mean age of the children at the time of re-operation was 5.8 years (15 months to 14.5 years). Soft-tissue release was performed in all 79 feet and combined with distal calcaneal excision in 52 feet. The mean follow-up was 12 years (4 to 32). At the latest follow-up the result was excellent or good in 61 feet (77%) according to the Ghanem and Seringe scoring system. The results was considered as fair in 14 feet (18%), all of whom had functional problems and eight had anatomical abnormalities. Four feet (5%) were graded as poor on both functional and anatomical grounds. The results were independent of the age at which revision was undertaken.
Mehrafshan
M
M
Paris-Descartes University, Assistance Publique Hopitaux de Paris, Saint-Vincent de Paul Hospital, 74-82 Avenue Denfert-Rochereau, 75014 Paris Cedex 14, France. mmehrafshan@yahoo.com
Rampal
V
V
Seringe
R
R
Wicart
P
P
D000293:Adolescent; D002111:Calcaneus / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D012086:Reoperation; D055502:Secondary Prevention; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome