title: Syndromic Feet: Arthrogryposis and Myelomeningocele.
abstract: Treatment of myelomeningocele and arthrogrypotic foot deformities has been controversial; many different procedures have been advocated for each type of deformity. In most cases, outcomes have had variable success rates, and many complications can occur. Treatment strategies should highlight care that avoids the development of a stiffened foot and allows for a variety of options to regain correction when a relapse occurs. This is particularly true in myelomeningocele, whereby a stiff foot runs a high risk for skin ulceration, leading to osteomyelitis. Discussion includes appropriate circumstances for the use of presented procedures and the author's preferred treatment for each deformity.
authors.affiliation: Department of Orthopaedic Surgery, Shriners Hospital for Children, 3551 North Broad Street, Philadelphia, PA 19140, USA. Electronic address: HvanBosse@Shrinenet.org.
authors.forename: Harold Jacob Pieter
authors.initials: HJ
authors.lastname: van Bosse
mesh_terms: D001176:Arthrogryposis; D001915:Braces; D002370:Casts, Surgical; D005530:Foot Deformities / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008591:Meningomyelocele; D019637:Orthopedic Procedures; D013577:Syndrome
keywords: Arthrogryposis multiplex congenita; Calcaneus; Clubfoot; Congenital vertical talus; Myelomeningocele; Spina bifida; Syndromic foot