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Summary
This study evaluated open reduction for congenital vertical talus in 10 feet, finding mostly good to fair results with minimal need for further surgery. This treatment offers a viable option for nonparalytic congenital vertical talus.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Foot and ankle surgery
Background:
- Congenital vertical talus (CVT) is a complex foot deformity.
- Nonparalytic CVT requires surgical correction for functional improvement.
Purpose of the Study:
- To evaluate the outcomes of open reduction without naviculectomy for nonparalytic congenital vertical talus.
- To assess the effectiveness and complications of this surgical technique.
Main Methods:
- Retrospective review of seven patients (10 feet) with nonparalytic CVT.
- Surgical procedure: open reduction, peritalar soft tissue release, posterior hindfoot release with Achilles tendon lengthening, and tibialis anterior tendon transfer.
- Follow-up duration: 2-11 years (average 6 years, 9 months).
Main Results:
- Clinical outcomes were rated as three excellent, three good, and four fair.
- Only one patient required a subsequent surgical procedure.
- Ages at surgery ranged from 8 months to 3 years.
Conclusions:
- Open reduction without naviculectomy is a potentially effective surgical treatment for nonparalytic congenital vertical talus.
- The procedure demonstrated a low rate of revision surgery in this cohort.