Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Anterior Distal Hemiepiphysiodesis of Tibia for Treatment of Recurrent Equinus Deformity Due to Flat-Top Talus in Surgically Treated Clubfoot Publisher Pubmed



Zargarbashi R1 ; Abdi R2, 3 ; Bozorgmanesh M2, 3 ; Panjavi B1, 4
Authors
Show Affiliations
Authors Affiliations
  1. 1. Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Imam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran

Source: Journal of Foot and Ankle Surgery Published:2020


Abstract

Treatment of persistent or recurrent equinus after repeated surgical releases can be challenging in patients with clubfoot. Anterior distal tibial epiphysiodesis has recently been used in patients with recurrent progressive equinus deformity, with inconsistent outcomes. Herein, we used this technique in a carefully selected subgroup (8 children, 9 feet) of patients with a severe equinus deformity and a flat-top talus. The patients were followed up with radiological and clinical measures for 12 to 18 months. The mean angle of the ankle improved significantly (25.5°, p <. 0001). The mean anterior distal tibial angle decreased from 86.3° to 69° (p <. 0001). Plantigrade foot was obtained in all patients, except 1 with arthrogryposis. When applied to carefully selected patients, anterior distal hemiepiphysiodesis of the tibia is an effective method for management of recurrent equinus deformity. © 2019 the American College of Foot and Ankle Surgeons