Equinovarus deformity in arthrogryposis and myelomeningocele: evaluation of primary talectomy.
Publication/Presentation Date
8-1-1989
Abstract
As initial surgical management for rigid equinovarus deformities, 16 children with arthrogryposis (30 involved feet) and 16 myelodysplastic children (26 involved feet) underwent primary talectomies or extensive posterior-medial releases (PMR). When compared with primary PMRs in arthrogrypotic children, primary talectomies revealed a greater number of good and fair results, decreased recurrence rates, less procedures per foot, and maintenance of ambulatory status. Recurrent forefoot and cavus deformities were present after primary talectomies. Primary talectomy in arthrogrypotic children was more effective than posterior-medial releases or secondary (salvage) talectomy. Because of the small number of feet involved, the role of primary talectomy in myelomeningocele was not clarified by this study. Radical PMRs in myelodysplastic children resulted in a significant number of hindfoot valgus deformities that required secondary procedures.
Volume
10
Issue
1
First Page
12
Last Page
16
ISSN
0198-0211
Published In/Presented At
Segal, L. S., Mann, D. C., Feiwell, E., & Hoffer, M. M. (1989). Equinovarus deformity in arthrogryposis and myelomeningocele: evaluation of primary talectomy. Foot & ankle, 10(1), 12–16. https://doi.org/10.1177/107110078901000103
Disciplines
Medicine and Health Sciences
PubMedID
2767561
Department(s)
Department of Surgery
Document Type
Article