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KMID : 0361620150500050394
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Journal of the Korean Orthopaedic Association
2015 Volume.50 No. 5 p.394 ~ p.400
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Results of Surgical Treatment for Congenital Vertical Talus
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안태영:Ahn Tae-Young
강정한:Kang Jeong-Han/임극필:Lim Kuk-Pil/김휘택:Kim Hui-Taek
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Abstract
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Purpose: We performed clinical and radiological evaluation of surgical outcomes of congenital vertical talus.
Materials and Methods: Fifteen surgically treated feet in 9 patients (6 bilateral and 3 unilateral) which were followed-up for at least 2 years were included. Mean patient age at the time of surgery was 10.9 months. The surgical technique was a one-stage correction using the Kumar technique with a Cincinnati skin incision. In 7 feet we also transferred half of the tibialis anterior to the talar neck (the Grice technique). Radiologic parameters (talo-calcaneal angle, talo-first metatarsal angle, tibio-talar angle, tibio-calcaneal angle) were analyzed pre- and postoperatively and at the last follow-up, and clinical outcomes by the Laaveg-Ponseti score.
Results: Talus orientation was improved in all patients. All radiologic parameters showed statistically significant improvement by the last follow-up. The mean Laaveg-Ponseti score at the last follow-up was 16 for patient satisfaction, 16 for function, and 24 for pain. There was no recurrence, however one case of talar neck fracture occurred during the tibialis anterior transfer.
Conclusion: One-stage surgical correction for congenital vertical talus at an early age provides satisfactory functional and cosmetic results.
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KEYWORD
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congenital vertical talus, single-stage release
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