The Clubfoot: The Present and a View of the Future

ISBN-13: 9781461392712 / Angielski / Miękka / 2012 / 587 str.

George W. Simons; M. O. Tachdjian

Opis

During the past two decades, there has been great progress in the man- agement of clubfoot. The First International Congress on Clubfeet was a landmark gathering of the leaders in the world in the treatment of club- foot. The congress was organized by Dr. George W. Simons-a difficult and demanding task. The quality of the papers published in this mono- graph reflects his pursuit of excellence and attention to detail. Still, there are many controversies in the management of clubfoot; it is evident that there is disagreement as to terminology and definition. What is congenital talipes equinovarus? It is a deformity of multifacto- rial pathogenesis in which the heel is inverted, the forefoot and midfoot are inverted and adducted (varus), and the ankle and subtalar joints are in equinus position. The forefoot is in cavus with the toes at a lower level than the heel. It is vital, however, that one be more specific in the defini- tion of talipes equinovarus.

Spis treści

1. Etiology.- Etiological Theories of CTEV.- Understanding Muscle Pathology.- Morphometric Study of Muscles in Congenital Idiopathic Clubfoot.- Histochemical Studies in Congenital Clubfeet.- Muscle Pathology in Clubfoot and Lower Motor Neuron Lesions.- Etiological Considerations of Congenital Clubfoot Deformity.- Neurogenic Origin of Talipes Equinovarus.- Anomalous Muscles in Clubfeet.- A Vascular Hypothesis for the Etiology of Clubfoot.- Color Doppler Imaging for Assessment of Arterial Anatomy in Congenital Skeletal Foot Deformity.- Discussion.- Editor’s Comments.- 2. Laboratory and Nonclinical Evaluations: Neuropsychiatric Evaluation, Pathomechanics, Magnetic Resonance Imaging, Gait Analysis.- Neuropsychiatric Assessment of Infants Treated Surgically for Congenital Clubfoot During the First Year of Life.- A Mathematical Model of Congenital Clubfoot.- Recognition and Management of the Atypical Idiopathic Clubfoot.- Magnetic Resonance Imaging in Congenital Talipes Equinovarus.- Gait Analysis in Clubfeet: An Experimental Study.- Discussion.- Editor’s Comments.- 3. Classification and Evaluation.- Introduction:.- Classification Versus Evaluation of Congenital Talipes Equinovarus.- Clinical Classification of Congenital Clubfeet.- Classification of Talipes Equinovarus.- Evaluation Preoperative Evaluation.- Clinical Assessment of Clubfoot Deformity.- Preoperative Clinical Assessment of Clubfoot.- CTEV Equinus Severity Grading Scale.- Intraoperative Evaluation.- Intraoperative Evaluation Form (Checklist).- Postoperative Evaluation.- Can Clubfeet Be Evaluated Accurately and Reproducibly?.- Functional Rating System for Evaluation of Long-Term Results of Clubfoot Surgery.- Postoperative Rating System for Clubfeet.- Surgical Follow-Up: Talipes Equinovarus.- Pre-, Intra- Postoperative Evaluation.- Classification and Evaluation of Congenital Talipes Equinovarus.- Discussion.- Editor’s Comments.- 4. Radiographic Evaluation.- The First Ray Angle.- The Relationship Between Functional Results and Radiographs in One-Stage Posteromedial Release.- Modified Posteromedial Release.- Intraoperative X-Ray as a Standard for Accuracy of Correction by Posteromedial Release of CTEV.- Arthrography of Congenital Clubfoot.- Discussion.- Editor’s Comments.- 5. Vascular Aspects.- Noninvasive Vascular Studies in Clubfoot.- A Comparison of Arteriographic and Doppler Techniques in Evaluating the Abnormal Arterial Patterns in Talipes Equinovarus.- Anomalous Circulation in Clubfoot.- Discussion.- Editor’s Comments.- 6. Nonsurgical Treatment.- A New Articulated Splint for Clubfeet.- Nonoperative Management of the Equinovarus Foot: Long-Term Results.- Discussion.- Editor’s Comments.- 7. Surgical Indications, Incisions, and Techniques.- Indications for Limited Soft Tissue Release in Congenital Talipes Equinovarus.- The Cincinnati Incision: An Approach for Extensive Dissection of the Foot and Ankle.- The Cincinnati Approach in Clubfeet.- A Comparative Result of Posteromedial Release Versus Posteromedial and Lateral Release for Idiopathic Talipes Equinovarus Using the Cincinnati Incision.- Medial Rotation of the Talus and Complete Calcaneocuboid Release—Its Effect on the Surgical Result in Idiopathic Clubfoot.- Surgical Release and Reduction of Congenital Talipes Equinovarus.- Long-Term Review of Juvenile Clubfoot Correction by Posteromedial Release: Clinical and Radiological Results.- Discussion.- Editor’s Comments.- 8. Wound Healing/Postoperative Care/Calcaneocuboid Subluxation.- The Use of Tissue Expanders in Clubfoot Surgery.- Partial Wound Closure Following Clubfoot Surgery.- The Role of the Calcaneocuboid Joint in Clubfeet.- Technique of Plantar Release and Calcaneocuboid Joint Release in Clubfoot Surgery.- Calcaneocuboid Joint Deformity in Talipes Equinovarus.- Discussion.- Editor’s Comments.- 9. New Procedures: Soft Tissue Procedures Without Distraction.- Tibialis Anterior Lengthening in Clubfeet.- Plantar Flexor Sheath Resection.- Medial/Lateral Column Separation (Third Street Operation) for Dorsal Talonavicular Subluxation.- Discussion.- Editor’s Comments.- 10. New Procedures: Soft Tissue Procedures with Distraction.- Gradual Midfoot Distraction for the Treatment of Severe Adductus Deformity in Children with Clubfeet After Multiple Prior Operations.- Controlled Differential Distraction for Correction of Complex Congenital Talipes Equinovarus.- Correction of Clubfoot Deformity Without Osteotomy by the Use of the Ilizarov Method.- The Ilizarov External Fixator in Severe Foot Deformities: Preliminary Results.- Complex Foot Deformity Correction Using the Ilizarov Circular External Fixator with Distraction but Without Osteotomy.- Discussion.- Editor’s Comments.- 11. New Procedures: Osteotomies.- Complex Foot Deformity Correction Using the Ilizarov Circular External Fixator with Osteotomies.- The Results of Talar Neck Osteotomy in Resistant Congenital Clubfoot.- Brachymetatarsia of the First Metatarsal Treated by Surgical Lengthening.- Discussion.- Editor’s Comments.- 12. Surgical Complications: Valgus/Calcaneus/Cavus/Dorsal Bunion.- Causes and Prevention of Tourniquet Lesions in Congenital Talipes Equinovarus Surgery.- Correction of the Overcorrected Clubfoot.- The Cavus Component in Congenital Talipes Equinovarus.- The Akron Midtarsal Dome Osteotomy in the Treatment of Rigid Pes Cavus.- “Reverse Jones” Procedure for Dorsal Bunion Following Clubfoot Surgery.- Discussion.- Editor’s Comments.- 13. Surgical Complications: Adduction/Supination.- Anteromedial Soft Tissue Release for Persistent Adduction and Supination in Congenital Talipes Equinovarus.- Tarsometatarsal Mobilization Combined with Anterior Tibialis Transfer: A Salvage Procedure for Residual Clubfoot Deformity.- Opening-Wedge First Cuneiform Osteotomy (Usually with 2nd Through 4th Metatarsal Osteotomies) for Resistant Metatarsus Adductus Following Clubfoot Release.- Combined Lateral Column Shortening and Medial Column Lengthening in the Treatment of Severe Forefoot Adductus.- Treatment of Residual Clubfoot Deformity—The “Bean-Shaped” Foot—By Opening-Wedge Cuneiform Osteotomy and Closing-Wedge Cuboid Osteotomy: Clinical Review and Cadaver Correlations.- Discussion.- Editor’s Comments.- 14. Surgical Complications: Ischemia/Necrosis/Effects of Surgery/Analysis of Failures.- Compartment Syndrome in the Clubfoot.- Three Cases of Necrosis Following Clubfoot Surgery: A Proposed Vascular Etiology.- Effects of Soft Tissue Release on the Development of the Tarsal Bones in Clubfeet.- Analysis of Unfavorable Late Results After Early Posteromedial Release in Clubfeet.- Reasons for Failure with Posteromedial Release.- Discussion.- Editor’s Comments.- 15. Comparative Evaluation of Surgical Techniques.- Comparative Evaluation of Two Surgical Techniques with and Without Subtalar Release.- Comparison of Older with Newer Surgical Techniques for Talipes Equinovarus.- Clubfoot: Experience at the University of South Alabama Medical Center.- Evaluation of Surgical Treatment in Resistant Clubfoot: A Comparison of the Turco, Carroll, and Cincinnati Approaches.- Comparative Review of Surgical Treatment of the Idiopathic Clubfoot by Three Different Procedures.- Discussion.- Editor’s Comments.- 16. Neglected Clubfeet/Revision Surgery.- Management of Neglected Clubfeet.- Revision Surgery in Clubfeet.- Clubfoot Revision Surgery.- Discussion.- Editor’s Comments.- Summary of the First International Congress on Clubfeet.- 17. Additional Papers.- Preparing the Findings of the First International Congress on Clubfeet for Computer-Assisted Decision-Making.- A Method for the Treatment of Congenital Clubfeet in Infants.- Rationale for Planning the Initial Treatment of Clubfoot.- Persistent and Relapsed Internal Rotation of the Foot After Soft Tissue Release.- Follow-Up Study of a Method of Management of Congenital Talipes Equinovarus Deformities with Easily Available Surgical Facilities in Developing Countries.- Early Treatment of Severe Idiopathic Clubfeet.- Editor’s Comments.- Index to Discussion and Editor’s Comments Sections.

O autorze

The Clubfoot: The Present and a View of the Future is a monumental source book of far greater magnitude and scope than has been written on this subject. This volume is a superb tool for pediatric orthopedists specializing in foot and ankle surgery who want to advance their knowledge of research, clinical management, and operative techniques in patients with clubfeet.