Correction of the Neglected Clubfoot in the Adolescent and Adult Patient.

Abstract:

:Clubfoot is a complex 4-dimensional deformity involving the hindfoot, midfoot, and forefoot. The fourth dimension is time. Treatment aims at achieving a pain-free, plantigrade, and mobile foot but, over time, flexible deformities become fixed and more difficult to manage. The Ponseti method of serial manipulation and casting can be used successfully in older children and may reduce the need for extensive open surgery. Alternatively, gradual correction of by an external device enables simultaneous correction of all components of the deformity without shortening the foot. Combining gradual soft tissue distraction with open releases and/or bony procedures may achieve a pain-free and plantigrade foot.

journal_name

Foot Ankle Clin

journal_title

Foot and ankle clinics

authors

Peterson N,Prior C

doi

10.1016/j.fcl.2020.02.008

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

205-220

issue

2

eissn

1083-7515

issn

1558-1934

pii

S1083-7515(20)30021-8

journal_volume

25

pub_type

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