Surgical Treatment in Vertical Talus

Czech version

Authors: J. Jochymek; J. Škvařil
Authors‘ workplace: Klinika dětské chirurgie, ortopedie a traumatologie FN Brno a LF MU v Brně přednosta: Prof. MUDr. Petr Gál, Ph. D.
Published in: Rozhl. Chir., 2009, roč. 88, č. 1, s. 32-34.
Category: Monothematic special - Original

Overview

Introduction:
The vertical talus is a rare congenital deformity of the foot. It is an isolated idiopathic deformity in about half of all cases. In the others, it is associated with abnormalities such as arthrogryposis, myelodysplasia, DDH.

Material and Methods:
The surgical correction may be carried out at 10 to 12 months of age by literature, but our cohort of patients involved older children too. We use one stage procedure sec Crawford with some additional procedures such as opening dorsal osteotomy, subtalar Grice procedure and muscle transfers.

Results and Conclusion:
Our procedures show excellent and good results (89.5% resp. 88.8%) in the treatment of this congenital deformity of the foot. We recommend this one stage procedure in the treatment of older patients too.

Key words:
vertical talus – surgical treatment in congenital deformities of the foot

Sources

1. Dungl, P., a kol. Ortopedie. Grada Publishing, a.s., 2005, 1273 s.

2. Tachdjian, M. O. Pediatrie Orthopedics. Vol. I.-IV., 2nd ed. Philadelphia : W.B. Saunders, 1990, 3372 p.

3. Badelon, O., et al. Le pied bot convexe congénital, etude diagnostique et therapeutique de 71 cas. Int. Orthop. (SICOT), 8, 211, 1994.

4. Crawford, A., et al. The Cincinnati incision: a comprehensive approach for surgical procedures of the foot and ankle in childhood. J. Bone Jt. Surg., 64 A: 1335, 1982.

5. Herring, J. A. Treatment of vertical talus. Tachdjiarťs Pediatrie Orthopedics. Vol. 1-3, 3rd ed. Philadelphia: W.B. Saunders, 2002, 2438 p.

6. Coughlin, M. J., Mann A. Surgery of the foot and ankle. Vol. I.-II. St. Louis: Mosby, 1999, 1605 p.

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Article was published in

Perspectives in Surgery

2009 Issue 1