Surgical correction of talipes equinovarus following foot and leg compartment syndrome.

Abstract:

:Between 1984 and 1994, 40 patients with a posttraumatic compartment syndrome of the lower leg and foot were treated for talipes equinovarus adductus foot deformity, which subsequently developed. Twenty patients had a wedge osteotomy followed by arthrodesis of the midtarsal joint (Chopart joint). Another 17 patients had an arthrodesis of the midtarasal and subtalar joints. In the remaining three patients, in addition to arthrodesis, lengthening of the tendons of the long flexors and the Achilles tendon was performed. Complications included wound infections (six cases), drill hole infections (three cases), chronic osteomyelitis (one case), and an ankle joint infection (one case). The clinical result was assessed as good in 37.5%, fair in 52.5%, and poor in 10% of the patients. Before the operation, 37 patients required modified footwear. After the operation, only eight patients needed them. Wedge osteotomy of the midtarsal and subtalar joints followed by an arthrodesis is an advantageous treatment modality for the correction of severe postischemic equinovarus adductus foot deformities. In our study, patient satisfaction was high. While complications frequently occur, it is not extraordinary considering the salvage nature of the procedure.

journal_name

Foot Ankle Int

authors

Dávid A,Lewandrowski KU,Josten C,Ekkernkamp A,Clasbrummel B,Muhr G

doi

10.1177/107110079601700607

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

334-9

issue

6

eissn

1071-1007

issn

1944-7876

journal_volume

17

pub_type

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