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Bilateral V-Y Advancement Flaps After Posterior Release for Arthrogrypotic Clubfoot: A Case Report
Alexander F Dagi1, Michael B Amrami1, Katherine K Rosenwasser2
1Division of Plastic Surgery, The New York Presbyterian Hospital, Columbia University Medical Center, New York, New York.
Case:
A 4-year-old girl with bilateral arthrogrypotic clubfoot underwent posterior release with bilateral V-Y advancement flaps. At 4 months, the patient ambulated independently over moderate distances. One-year follow-up confirmed pain-free functional ambulation, although persistent toe-walking highlighted ongoing neuromuscular challenges and minor correction loss.
Conclusion:
V-Y advancement flaps provide effective soft tissue coverage after posterior release for arthrogrypotic clubfoot. Early multidisciplinary collaboration integrating orthopedic and plastic surgical planning is essential for optimizing outcomes.
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