Novosti pri zdravljenju prirojenega ekvinovarusa
Recent advances in the treatment of congenital clubfoot

slovenian

2003

volume 72, issue 9

Casts, Surgical   Clubfoot   Etiology   Immobilization   Pathology   Surgery   therapy   Treatment Outcome

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background. In the article the etiology and pathological changes in congenitalclubfoot are described. The manipulation and casting technique according to Ponseti is presented: the foot is abducted with dorsiflexion of the first ray while pressure is maintained on the lateral aspect of the talar neck in front of the lateral maleolus. The additional skin incision in the line of Achilles tendon is no longer used and the Cincinatti incision is slightly modified in the posterior part of the foot. The operative reposition of the talanavicular joint is in most of cases no longer necessary because of the succesful manipulation and casting technique according to Ponseti. Consequently, the operative time is shortened. Conclusions. Due to recent advances in the treatment of congenital clubfoot patients stay in the hospitalonly 24 hour after surgery. However the course and result of congenital clubfoot remains to be impredictable to some degree, presumably etiological heterogenity.

10.04.2014