Midterm results following revision surgery in clubfeet

Relapse rates of surgically treated clubfeet are about 25%. We reviewed 43 patients (57 feet) treated for relapsed clubfoot deformity between 1992 and 2001 in our department. The average age of the patients at the time of revision surgery was 5.1 years, the mean follow-up was 6.6 years. Surgical the...

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Bibliographic Details
Published in:International orthopaedics 2009-04, Vol.33 (2), p.515-520
Main Authors: Ettl, V., Kirschner, S., Krauspe, R., Raab, P.
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Algorithms
Child
Child, Preschool
Clubfoot - diagnostic imaging
Clubfoot - surgery
Cohort Studies
Female
Follow-Up Studies
Humans
Infant
Male
Medicine
Medicine & Public Health
Original Paper
Orthopedic Procedures - adverse effects
Orthopedic Procedures - methods
Orthopedics
Pain Measurement
Patient Satisfaction
Probability
Radiography
Range of Motion, Articular - physiology
Recovery of Function
Recurrence
Reoperation - methods
Reoperation - statistics & numerical data
Retrospective Studies
Risk Assessment
Statistics, Nonparametric
Time Factors
Treatment Outcome
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Summary:Relapse rates of surgically treated clubfeet are about 25%. We reviewed 43 patients (57 feet) treated for relapsed clubfoot deformity between 1992 and 2001 in our department. The average age of the patients at the time of revision surgery was 5.1 years, the mean follow-up was 6.6 years. Surgical therapy was performed using an algorithm according to age groups. The mean Atar score at follow-up was 77 points, representing a good outcome. Out of 57 feet, 20 (35%) were rated excellent, 24 (42%) good, 5 (9%) fair, and 8 (14%) poor. The number of previous surgical interventions had no influence on the outcome. Using an age related surgical algorithm, good postoperative results could be achieved in most of our patients, thus improving their functional situation. This emphasises the usefulness of the proposed algorithm in the difficult situation of recurrent clubfoot, while thorough analysis of the underlying deformity remains essential.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-007-0495-6