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Complete subtalar release in clubfeet
R Tözün1, A Hamzaoglu, H Pinar
1Department of Orthopedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Turkey.
The Journal of Foot Surgery
|September 1, 1990
Summary
Complete subtalar release effectively treated clubfeet in children, with no recurrences observed. This surgical approach yielded very good to good outcomes in all treated clubfeet.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Foot and ankle surgery
Background:
- Clubfoot is a common congenital foot deformity.
- Subtalar joint abnormalities contribute to clubfoot.
- Surgical release is often necessary for severe cases.
Purpose of the Study:
- To evaluate the outcomes of complete subtalar release in pediatric clubfoot patients.
- To assess the efficacy and complications of this surgical technique.
Main Methods:
- A retrospective review of 18 children (22 clubfeet) treated between 1987-1989.
- Procedures included complete subtalar release, primarily via the Cincinnati incision.
- Postoperative management involved pin removal at 6 weeks and cast immobilization for 3-3.5 months.
Main Results:
- No recurrences of clubfoot were observed.
- Excellent outcomes (very good to good) were achieved in all 22 feet.
- Complications included superficial necrosis (3 feet) and extensive posteromedial skin necrosis (1 foot).
Conclusions:
- Complete subtalar release is an effective surgical treatment for pediatric clubfoot.
- The Cincinnati incision is a viable approach for this procedure.
- While complications can occur, the overall results demonstrate the procedure's success in correcting clubfoot deformities.