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Abstract


The results of surgical treatment of clubfoot in children under one year of age

Seyyed Mohammad Jazayery MD, Mahdie Kerdari MD, Mehrnoush Hassass Yeganeh MD*

Shahid Beheshti University of Medical Sciences, Tehran, Iran
* Corresponding Author




Introduction: Clubfoot is one the most common congenital deformities in children. This deformity is characterized by forefoot adduction, hindfoot equinus and varus and internal tortion of the leg. This disease causes many functional, social and emotional problems for the affected child and his family. If it is not treated in a correct and timely manner, the consequences will be catastrophic.

Materials and methods: We assessed the archive of Akhtar orthopaedic hospital for the files of the children with clubfoot treated between 1994 and 2004 under the age of one. We asked the patients to attend the clinic and evaluated them by functional rating score (FRS), clinical examination and radiographic assessment after obtaining informed consent from the child or his parents. For each child we filled in a form of FRS.

Results: Our results show that different surgical techniques do not have the same results based on FRS.(p<0.05) We also found that in those children who had failed results, the Carroll technique was 2 times more common than those with successful results.

Conclusion: We conclude that treating the clubfoot in female children before the age of 6 months, using those techniques with wider exposure and performing perfect correction at the time of surgery, lead to best midterm functional and radiographic results.

Keywords: Clubfoot, Treatment, McKay technique, Turco technique, Carroll technique