Results of Surgical Treatment for Congenital Vertical Talus.
10.4055/jkoa.2015.50.5.394
- Author:
Tae Young AHN
1
;
Jeong Han KANG
;
Kuk Pil LIM
;
Hui Taek KIM
Author Information
1. Department of Orthopedic Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. kimht@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
congenital vertical talus;
single-stage release
- MeSH:
Follow-Up Studies;
Foot;
Humans;
Metatarsal Bones;
Neck;
Patient Satisfaction;
Recurrence;
Skin;
Talus*
- From:The Journal of the Korean Orthopaedic Association
2015;50(5):394-400
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We performed clinical and radiological evaluation of surgical outcomes of congenital vertical talus. MATERIALS AND METHODS: Fifteen surgically treated feet in 9 patients (6 bilateral and 3 unilateral) which were followed-up for at least 2 years were included. Mean patient age at the time of surgery was 10.9 months. The surgical technique was a one-stage correction using the Kumar technique with a Cincinnati skin incision. In 7 feet we also transferred half of the tibialis anterior to the talar neck (the Grice technique). Radiologic parameters (talo-calcaneal angle, talo-first metatarsal angle, tibio-talar angle, tibio-calcaneal angle) were analyzed pre- and postoperatively and at the last follow-up, and clinical outcomes by the Laaveg-Ponseti score. RESULTS: Talus orientation was improved in all patients. All radiologic parameters showed statistically significant improvement by the last follow-up. The mean Laaveg-Ponseti score at the last follow-up was 16 for patient satisfaction, 16 for function, and 24 for pain. There was no recurrence, however one case of talar neck fracture occurred during the tibialis anterior transfer. CONCLUSION: One-stage surgical correction for congenital vertical talus at an early age provides satisfactory functional and cosmetic results.
