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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 7, 949-954.
doi: 10.1302/0301-620X.91B7.22474  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Recurrent club-foot deformity following previous soft-tissue release

MID-TERM OUTCOME AFTER REVISION SURGERY

M. Mehrafshan, MD, Orthopaedic Surgeon1; V. Rampal, MD, Orthopaedic Surgeon1; R. Seringe, MD, Professor1; and P. Wicart, MD, PhD, Professor1

1 Paris-Descartes University, Assistance Publique Hopitaux de Paris, Saint-Vincent de Paul Hospital, 74-82 Avenue Denfert-Rochereau, 75014 Paris Cedex 14, France.

Correspondence should be sent to Dr M. Mehrafshan; e-mail: mmehrafshan{at}yahoo.com

The results of further soft-tissue release of 79 feet in 60 children with recurrent idiopathic congenital talipes equinovarus were evaluated. The mean age of the children at the time of re-operation was 5.8 years (15 months to 14.5 years). Soft-tissue release was performed in all 79 feet and combined with distal calcaneal excision in 52 feet. The mean follow-up was 12 years (4 to 32). At the latest follow-up the result was excellent or good in 61 feet (77%) according to the Ghanem and Seringe scoring system. The results was considered as fair in 14 feet (18%), all of whom had functional problems and eight had anatomical abnormalities. Four feet (5%) were graded as poor on both functional and anatomical grounds.

The results were independent of the age at which revision was undertaken.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General