Outcomes of Eight‐Plate Epiphysiodesis for Residual Clubfoot Deformities
Objective The outcome of congenital clubfoot treatment is still challenging if the feet deformities are not completely corrected. Here we explore a minimal invasive procedure with an eight‐plate implant to correct the residual forefoot adduction deformity after treatment of neglected or relapsed clu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-12-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13548 |
| _version_ | 1811205260634488832 |
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| author | Haoyu Zhao Hongjiang Ruan Yuting Cao Hengfeng Yuan Qinglin Kang |
| author_facet | Haoyu Zhao Hongjiang Ruan Yuting Cao Hengfeng Yuan Qinglin Kang |
| author_sort | Haoyu Zhao |
| collection | DOAJ |
| description | Objective The outcome of congenital clubfoot treatment is still challenging if the feet deformities are not completely corrected. Here we explore a minimal invasive procedure with an eight‐plate implant to correct the residual forefoot adduction deformity after treatment of neglected or relapsed clubfoot. Methods We retrospectively reviewed patients with residual forefoot adduction deformity after clubfoot treatment between January 2013 and June 2016. The patients underwent temporary epiphysiodesis of the lateral column of the mid‐foot, which in detail, an eight‐plate was placed on each side of the calcaneocuboid joint. The foot deformities were recorded according to the weight‐bearing radiographic measurements including talo‐first metatarsal angle, calcaneo‐fifth metatarsal angle and medial‐to‐lateral column length. Results A total of 13 patients (20 feet) with an average age of 7.8 years old were located with an average duration of 40.8 months follow‐up (range, 28 to 54 months). The average talo‐first metatarsal angle improved from 28.3° (range, 19° to 47°) preoperatively to 8.3° (range, 3° to 18°) and the calcaneo‐fifth metatarsal angle improved from 29.1° (range, 19° to 40°) preoperatively to 8.4° (range, 0° to 21°) at final follow‐up. The mean ratio of the medial‐to‐lateral column length improved from 1.14 ± 0.06 to 1.55 ± 0.09 with statistical significance (t = 3.566; P < 0.001). Conclusions Eight‐plate epiphysiodesis is an easy and effective method for the correction of residual forefoot adduction deformity after clubfoot treatment in growing children without the need of osteotomy. |
| first_indexed | 2024-04-12T03:27:43Z |
| format | Article |
| id | doaj.art-dba53cdcc77a457789a591861daa6197 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-12T03:27:43Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-dba53cdcc77a457789a591861daa61972022-12-22T03:49:37ZengWileyOrthopaedic Surgery1757-78531757-78612022-12-0114123417342210.1111/os.13548Outcomes of Eight‐Plate Epiphysiodesis for Residual Clubfoot DeformitiesHaoyu Zhao0Hongjiang Ruan1Yuting Cao2Hengfeng Yuan3Qinglin Kang4Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University Shanghai ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University Shanghai ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University Shanghai ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University Shanghai ChinaDepartment of Orthopedic Surgery, Shanghai Sixth People's Hospital Shanghai Jiao Tong University Shanghai ChinaObjective The outcome of congenital clubfoot treatment is still challenging if the feet deformities are not completely corrected. Here we explore a minimal invasive procedure with an eight‐plate implant to correct the residual forefoot adduction deformity after treatment of neglected or relapsed clubfoot. Methods We retrospectively reviewed patients with residual forefoot adduction deformity after clubfoot treatment between January 2013 and June 2016. The patients underwent temporary epiphysiodesis of the lateral column of the mid‐foot, which in detail, an eight‐plate was placed on each side of the calcaneocuboid joint. The foot deformities were recorded according to the weight‐bearing radiographic measurements including talo‐first metatarsal angle, calcaneo‐fifth metatarsal angle and medial‐to‐lateral column length. Results A total of 13 patients (20 feet) with an average age of 7.8 years old were located with an average duration of 40.8 months follow‐up (range, 28 to 54 months). The average talo‐first metatarsal angle improved from 28.3° (range, 19° to 47°) preoperatively to 8.3° (range, 3° to 18°) and the calcaneo‐fifth metatarsal angle improved from 29.1° (range, 19° to 40°) preoperatively to 8.4° (range, 0° to 21°) at final follow‐up. The mean ratio of the medial‐to‐lateral column length improved from 1.14 ± 0.06 to 1.55 ± 0.09 with statistical significance (t = 3.566; P < 0.001). Conclusions Eight‐plate epiphysiodesis is an easy and effective method for the correction of residual forefoot adduction deformity after clubfoot treatment in growing children without the need of osteotomy.https://doi.org/10.1111/os.13548ChildrenClubfoot deformityEight‐plateEpiphysiodesisForefoot adduction |
| spellingShingle | Haoyu Zhao Hongjiang Ruan Yuting Cao Hengfeng Yuan Qinglin Kang Outcomes of Eight‐Plate Epiphysiodesis for Residual Clubfoot Deformities Orthopaedic Surgery Children Clubfoot deformity Eight‐plate Epiphysiodesis Forefoot adduction |
| title | Outcomes of Eight‐Plate Epiphysiodesis for Residual Clubfoot Deformities |
| title_full | Outcomes of Eight‐Plate Epiphysiodesis for Residual Clubfoot Deformities |
| title_fullStr | Outcomes of Eight‐Plate Epiphysiodesis for Residual Clubfoot Deformities |
| title_full_unstemmed | Outcomes of Eight‐Plate Epiphysiodesis for Residual Clubfoot Deformities |
| title_short | Outcomes of Eight‐Plate Epiphysiodesis for Residual Clubfoot Deformities |
| title_sort | outcomes of eight plate epiphysiodesis for residual clubfoot deformities |
| topic | Children Clubfoot deformity Eight‐plate Epiphysiodesis Forefoot adduction |
| url | https://doi.org/10.1111/os.13548 |
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