Outcome Of Postero-Medial Soft Tissue Release In Congenital Talipes Equino Varus
Background: Clubfoot is one of the most common congenital orthopaedic anomalies, first described by Hippocrates in the year 400 BC. However, its treatment still continues to challenge the skills of the paediatric orthopedic surgeon as it has a notorious tendency to relapse, irrespective of whether the foot is treated by conservative or operative means.
Material & Methods: This prospective study was conducted at our center from June 2014 to May 2016 in 39 (31 cases) congenital talipes equinovarus deformities treated by single stage posteromedial soft tissue release and the outcome assessment was done by Pirani score and Green, Lloyd- Roberts criteria.
Results: The mean age was 1.7 years. 21 were male and 10 were female. The mean pre-operative Pirani score improved from 4.8± 0.82 to 1.4± 0.86 postoperatively, which was statistically significant (p < 0.05). As per the Green Lloyd-Roberts criteria 13 (37%) feet had excellent results, 13 (37%) feet had good results and 9 (25%) feet had poor results. 6 feet had superficial infection or wound gaping and plaster sore and skin blisters were seen in 4 feet.
Conclusion: Single stage Postero-Medial Soft Tissue Release produces satisfactory results when done at appropriate age as soft tissues are more resilient to correction and the remodeling capacities of the cartilaginous bone are good.
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