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Long term results of early surgical release in club feet

HUTCHINS PM; FOSTER BK; PATERSON DC
J BONE JOINT SURG BR , 1985, vol. 67, n° 5, p. 791-799
Doc n°: 29125
Localisation : Bibliothèque Universitaire de Médecine de Nancy
Descripteurs : DE831 - PIED BOT VARUS EQUIN

One-hundred and seventy patients with 252 club feet treated by early posterior release were reviewed after a follow-up averaging 15 years 10 months. The feet were assessed both functionally and clinically and the results related to any bony deformity found radiographically ; a satisfactory result was obtained in 81%. Lateral tibial torsion was examined and found to be less than in a normal population.
The relationship between primary bone deformity and eventual functional result was examined, and a classification of talar dome deformity introduced. The range of ankle movement was a major factor in determing the functional result, and this in turn was influenced by the degree of talar dome flattening. It is suggested that the primary bone deformity present at birth dictates the eventual result of treatment.

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Langue : ANGLAIS

Identifiant basis : 1986085206

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