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VOLUME 6 , ISSUE 2 ( July-December, 2019 ) > List of Articles

RESEARCH ARTICLE

Role of Talectomy in Severe Resistant Clubfoot in Children

Mohammad A Hegazy, Hossam M Khairy, Sherif M El-Aidy

Keywords : Children, Foot, Talectomy, Talipes equinovarus, Talus

Citation Information : Hegazy MA, Khairy HM, El-Aidy SM. Role of Talectomy in Severe Resistant Clubfoot in Children. J Foot Ankle Surg Asia-Pacific 2019; 6 (2):29-38.

DOI: 10.5005/jp-journals-10040-1105

License: CC BY-NC 4.0

Published Online: 05-07-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Despite of the global attention paid to talectomy in management of severe, rigid, and resistant deformities of clubfoot, no evaluation of this procedure has been done before in our institution. The aim of work was to evaluate the outcome of surgical removal of talus in these patients. Seventeen severe, rigid, and resistant clubfeet in 10 patients undergoing talectomy were evaluated pre- and postoperative at the Department of Orthopedic Surgery, Zagazig University hospitals, Al-Sharkia, Egypt. The collected data were statistically analyzed. Out of the 10 investigated cases, there were seven males and three females. Seven (70%) cases were bilaterally affected; only three (30%) were one-sided affected. They were one left-sided in two cases and the other was right-sided. Their age ranged 1–5 years with a mean of 30.2 ± 13.3 months. There were good results in 11 (65%) cases out of the 17 operated. Fair results were found in 6 (35%) cases. Three from the 6 feet with fair results following talectomy showed residual cavus; and the others were noticed with residual hindfoot varus with slight inversion and adduction of the forefoot. All cases were with stable and plantigrade foot. In general, patients of both good and fair results were being able to wear shoes and to walk independently with pain free movements. Talectomy could be considered as a single salvage procedure for cases of clubfoot suffering from rigid, resistant and severe deformities. It is a safe procedure with no major complications; and gives satisfactory results.

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