Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children
Residual deformity in resistant clubfoot is not uncommon. The "bean-shaped foot" exhibits forefoot adduction and midfoot supination and may interfere with function due to poor foot placement. For children less than 5 years of age we describe a corrective procedure combining a closing wedge...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Lippincott, Williams & Wilkins
2009
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| Online Access: | http://eprints.um.edu.my/3328/1/Combined_Lateral_and_Transcuneiform_without_Medial_Osteotomy_for_Residual_Clubfoot.pdf |
| _version_ | 1825718787066822656 |
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| author | Mahadev, A. Munajat, I. Mansor, A. Hui, J.H.P. |
| author_facet | Mahadev, A. Munajat, I. Mansor, A. Hui, J.H.P. |
| author_sort | Mahadev, A. |
| collection | UM |
| description | Residual deformity in resistant clubfoot is not uncommon. The "bean-shaped foot" exhibits forefoot adduction and midfoot supination and may interfere with function due to poor foot placement. For children less than 5 years of age we describe a corrective procedure combining a closing wedge cuboidal osteotomy and trans-midfoot rotation procedure without a medial opening wedge osteotomy. We retrospectively reviewed twelve patients (14 feet), mean age 4.7 years (range, 4-5 years), who had undergone the procedure to correct forefoot adduction and midfoot supination deformities. We obtained minimal access via a small lateral skin incision. Cuboid lateral wedge osteotomy was followed by transcuneiform osteotomy using a Kirschner wire as a guide under an image intensifier. The minimum followup was 2 years (mean, 2.6 years; range, 2�3.2 years). All patients had qualitative improvement in correction of adduction and supination deformities. Radiographically there was an improvement in adduction deformity, the mean anteroposterior talo-first metatarsal and calcaneo-fifth metatarsal angles improved by 28° (from 40° to 12°) and by 11° (from 21° to 10°). The supination improved by 11° (from 19° to 8°) and the cavus improved by 17° (from 30° to 13°). The short-term outcome was reliable and this combination is useful for children younger than 5 years old where the medial cuneiform ossification center remained poorly defined. |
| first_indexed | 2024-03-06T05:09:41Z |
| format | Article |
| id | um.eprints-3328 |
| institution | Universiti Malaya |
| language | English |
| last_indexed | 2024-03-06T05:09:41Z |
| publishDate | 2009 |
| publisher | Lippincott, Williams & Wilkins |
| record_format | dspace |
| spelling | um.eprints-33282012-06-19T02:47:00Z http://eprints.um.edu.my/3328/ Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children Mahadev, A. Munajat, I. Mansor, A. Hui, J.H.P. R Medicine Residual deformity in resistant clubfoot is not uncommon. The "bean-shaped foot" exhibits forefoot adduction and midfoot supination and may interfere with function due to poor foot placement. For children less than 5 years of age we describe a corrective procedure combining a closing wedge cuboidal osteotomy and trans-midfoot rotation procedure without a medial opening wedge osteotomy. We retrospectively reviewed twelve patients (14 feet), mean age 4.7 years (range, 4-5 years), who had undergone the procedure to correct forefoot adduction and midfoot supination deformities. We obtained minimal access via a small lateral skin incision. Cuboid lateral wedge osteotomy was followed by transcuneiform osteotomy using a Kirschner wire as a guide under an image intensifier. The minimum followup was 2 years (mean, 2.6 years; range, 2�3.2 years). All patients had qualitative improvement in correction of adduction and supination deformities. Radiographically there was an improvement in adduction deformity, the mean anteroposterior talo-first metatarsal and calcaneo-fifth metatarsal angles improved by 28° (from 40° to 12°) and by 11° (from 21° to 10°). The supination improved by 11° (from 19° to 8°) and the cavus improved by 17° (from 30° to 13°). The short-term outcome was reliable and this combination is useful for children younger than 5 years old where the medial cuneiform ossification center remained poorly defined. Lippincott, Williams & Wilkins 2009 Article PeerReviewed application/pdf en http://eprints.um.edu.my/3328/1/Combined_Lateral_and_Transcuneiform_without_Medial_Osteotomy_for_Residual_Clubfoot.pdf Mahadev, A. and Munajat, I. and Mansor, A. and Hui, J.H.P. (2009) Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children. Clinical Orthopaedics and Related Research, 467 (5). pp. 1319-1325. ISSN 0009-921X, DOI https://doi.org/10.1007/s11999-009-0755-4 <https://doi.org/10.1007/s11999-009-0755-4>. http://pubmedcentralcanada.ca/articlerender.cgi?artid=1593235 10.1007/s11999-009-0755-4 |
| spellingShingle | R Medicine Mahadev, A. Munajat, I. Mansor, A. Hui, J.H.P. Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children |
| title | Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children |
| title_full | Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children |
| title_fullStr | Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children |
| title_full_unstemmed | Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children |
| title_short | Combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children |
| title_sort | combined lateral and transcuneiform without medial osteotomy for residual clubfoot for children |
| topic | R Medicine |
| url | http://eprints.um.edu.my/3328/1/Combined_Lateral_and_Transcuneiform_without_Medial_Osteotomy_for_Residual_Clubfoot.pdf |
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