SURGICAL TREATMENT OF ADULT PATIENTS WITH CONGENITAL CLUBFOOT IN SEVERITY DEGREE

A. A. Mukhamadeev; I. A. Norkin; N. A. Koryshkov; V. D. Balayan; S. N. Kireev; M. S. Ediev

doi:10.21823/2311-2905-2012-0-1-131-138

Traumatology and Orthopedics of Russia ›› 2012, Vol. 18 ›› Issue (1) : 109 -112. DOI: 10.21823/2311-2905-2012-0-1-131-138

Modern technologies in traumatology and orthopedics

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SURGICAL TREATMENT OF ADULT PATIENTS WITH CONGENITAL CLUBFOOT IN SEVERITY DEGREE

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Abstract

There were treated 48 patients (adolescents and adults) with severe congenital clubfoot in Saratov Research Institute of Traumatology and Orthopedics. 43 patients had the age ranged from 16 to 30, 5 patients had the age over 30. 19 patients had bilateral clubfoot, 29 patients had unilateral clubfoot including 19 on right side and 10 left side. To improve treatment results and to prevent deformity recurrence we developed two-staged surgery for congenital clubfoot treatment in adults. Cartilages of talo-navicular, talo-calcanean, cuneo-talar joints are deleted and deformity is corrected with external fixator on I stage. Surgeon performs external fixator resetting, autobone grafting of these joints with compressive arthrodesis on second stage. This method results in full foot reconstruction, good functional outcome, full weight-bearing and improves patient life’s quality.

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A. A. Mukhamadeev, I. A. Norkin, N. A. Koryshkov, V. D. Balayan, S. N. Kireev, M. S. Ediev. SURGICAL TREATMENT OF ADULT PATIENTS WITH CONGENITAL CLUBFOOT IN SEVERITY DEGREE. Traumatology and Orthopedics of Russia, 2012, 18(1): 109-112 DOI:10.21823/2311-2905-2012-0-1-131-138

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