Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 8 , ISSUE 3 ( July-September, 2021 ) > List of Articles

CASE REPORT

Neglected Congenital Clubfoot in an Adult 56 Years Old Patient

Sasa S Milenkovic, Milan M Mitkovic, Milorad B Mitkovic

Keywords : Adulthood, Closing wedge osteotomy, Congenital clubfoot, Neglected

Citation Information : Milenkovic SS, Mitkovic MM, Mitkovic MB. Neglected Congenital Clubfoot in an Adult 56 Years Old Patient. J Foot Ankle Surg Asia-Pacific 2021; 8 (3):152-154.

DOI: 10.5005/jp-journals-10040-1163

License: CC BY-NC 4.0

Published Online: 08-07-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: This study aims to describe the rare case of neglected congenital clubfoot. Background: Congenital clubfoot is the most present type of foot deformity. The treatment of this severe congenital deformity begins immediately after birth and it can be very complex. There are different bone and soft tissue surgery procedures using in the treatment of these deformities. Severe cases of neglected congenital clubfoot are treated by triple arthrodesis. Cases of neglected congenital clubfoot are rarely noticed in actual literature. Case description: There is a case of a 56-year-old female patient with neglected congenital clubfoot deformity. She was born with this deformity and she had never had a medical treatment before. Clinical examination revealed the unsatisfactory cosmetic and functional status of the right foot. Triple arthrodesis of the foot after corrective closed wedge osteotomies in the midfoot and subtalar complex with posterior capsulotomy and Achilles tendon lengthening had been performed. Final cosmetic and functional results are good and the final psychological effect on the patient is excellent. Conclusion: Corrective osteotomies of the foot with triple arthrodesis and Achilles tendon lengthening is the method giving good and acceptable results. Clinical significance: Surgical correction of the deformity is very important because the effects of surgical correction positively reflect on the function of limbs, esthetic appearance, and a positive psychological effect on the patient.


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