Congenital Vertical Talus: Etiology and Management.
Congenital vertical talus is a rare foot deformity. If left untreated, it causes significant disability, including pain and functional limitations. Although the etiology of vertical talus is likely heterogeneous, recent evidence strongly supports a genetic cause linking it to genes expressed during early limb development. Traditional management for vertical talus involves extensive surgeries that are associated with significant short- and long-term complications. A minimally invasive approach that relies on serial manipulation and casting to achieve most of the correction has been shown to produce excellent short-term results with regard to clinical and radiographic correction in both isolated and nonisolated cases of vertical talus. Although long-term studies are needed, achieving correction without extensive surgery may lead to more flexible and functional feet, much as Ponseti method has done for clubfeet.
Mark
M
Miller
Matthew B
MB
Dobbs
D002370:Casts, Surgical; D005413:Flatfoot; D005532:Foot Deformities, Congenital / Q000235:genetics* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D016059:Range of Motion, Articular
congenital foot deformity; minimally invasive surgery; vertical talus