Clubfoot (congenital talipes equinovarus)

Posted: Sep 29 2015 #(C2386)

Adult clubfoot deformity

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Nazif Salihodzic MD

CANTONAL HOSPITAL BIHAC, US

HPI

neglected clubfoot treatment in childhood

PMH

unknown

rigid deformity equinovarus foot, skin thickening on lateral border due to walking, also crawl on both knees, obese

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How would you treat this patient

1 Conservative

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2 Surgery

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P: 8364

If you choose surgery, what approach would you use?

1 Posterolateral

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2 Medial

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3 Lateral

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4 Anterolateral

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5 Posteromedial

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P: 8365

What therapeutic procedure would you perform?

1 Posteromedial soft tissue release and tendon lengthening

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2 Medial opening or lateral column-shortening osteotomy, or cuboidal decancellation

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3 Triple arthrodesis

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4 Talectomy

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5 Ring fixator (Taylor Spatial Frame) - gradual correction

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P: 8366

How would you sequence this operation.

1 Do both feet at once.

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2 Do non-dominant foot than wait 3 months to do other

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3 Do non-dominant foot than wait 6 months to do other

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4 Do non-dominant foot than wait 12 months to do other

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5 Do non-dominant foot - and then determine if you are going to do other foot based on outcomes

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P: 8367

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