Anterior Distal Hemiepiphysiodesis of Tibia for Treatment of Recurrent Equinus Deformity Due to Flat-Top Talus in Surgically Treated Clubfoot.

Journal: The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Treatment Used: Anterior Distal Hemiepiphysiodesis of Tibia
Number of Patients: 8
MediFind Summary

Overview: The study researched the outcomes of anterior distal tibial epiphysiodesis for children with a severe equinus deformity and a flat-top talus.

Conclusion: Anterior distal hemiepiphysiodesis of the tibia is an effective method for select patients with a severe equinus deformity and a flat-top talus.

Abstract

Treatment of persistent or recurrent equinus after repeated surgical releases can be challenging in patients with clubfoot. Anterior distal tibial epiphysiodesis has recently been used in patients with recurrent progressive equinus deformity, with inconsistent outcomes. Herein, we used this technique in a carefully selected subgroup (8 children, 9 feet) of patients with a severe equinus deformity and a flat-top talus. The patients were followed up with radiological and clinical measures for 12 to 18 months. The mean angle of the ankle improved significantly (25.5°, p < .0001). The mean anterior distal tibial angle decreased from 86.3° to 69° (p < .0001). Plantigrade foot was obtained in all patients, except 1 with arthrogryposis. When applied to carefully selected patients, anterior distal hemiepiphysiodesis of the tibia is an effective method for management of recurrent equinus deformity.

Authors
Ramin Zargarbashi, Reza Abdi, Mohammadreza Bozorgmanesh, Behnam Panjavi

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