Conservative treatment of congenital clubfoot in children

Abstract

In outpatient department of CITO 207 children with clubfoot were treated by Vilenskiy's functional technique. After application of plaster bandage from the middle third of the femur to the toes the influence was directed on the certain muscle groups. Then step-by-step application of fixative tutors from polymeric materials (polivik) was used. There were 3 groups of patients: 1st group — 126 patients were treated starting from the first month of life; I Ind group — 57 patients, aged 2—5 years,, after failed treatment at other hospitals; Illrd group — 24 patients with recurrence of the deformity after conservative treatment. Follow up ranged from 1 to 25 years. Good results were achieved in 94 cases (74.6%>) (I group), 31 (54.4%) (II group) and in 9 patients (37.5%)) (IIIgroup). Satisfactory results were noted in 15 (11.9%)), 8 (14%)), 5 (20.8%)) patients, respectively, and unsatisfactory results in 17 (13.4%)), 18 (31.6%)) and 10 (41.6%>), respectively.

Keywords

congenital clubfoot / torticollis / redressing

References

[1] Виленский В.Я., Шумейко В.Н. //Актуальные вопросы травматологии и ортопедии. — М., 1981. — Вып. 23. — С. 118-119.

[2] Виленский В.Я. Консервативное лечение врожденной косолапости с помощью изделий из полимерных материалов: Метод, рекомендации. — М., 1983.

[3] Зацепин Т.С. Врожденная косолапость и ее лечение в детском возрасте. — М., 1947.

[4] Малахов О.А., Волков С.Е. //Травматология и ортопедия: Руководство для врачей /Под ред. Ю.Г. Шапошникова. — М., 1997. — Т. 3. — С. 309-326.

[5] Мороз П.Ф. Хирургическое лечение врожденной косолапости. — Кишинев, 1976.

[6] Ставская Е.А. Врожденная косолапость и ее лечение в раннем детском возрасте: Автореф. дис.... канд. мед. наук. — Ростов-на-Дону, 1971.

[7] Kite J.H. //Clin. Orthop. — 1972. — N 84. — P. 29

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