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Arthrodesis of the Foot or Ankle in Adult Patients with Congenital Clubfoot

Background Although clubfoot that was corrected in childhood rarely recurs in adulthood, persistent deformities or arthritic pain may require further treatment during adulthood. Little evidence exists on the operative procedures utilized in adult clubfoot patients, who were previously treated for co...

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Autores principales: Zhuang, Thompson, El-Banna, Ghida, Frick, Steve
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988724/
https://www.ncbi.nlm.nih.gov/pubmed/32025426
http://dx.doi.org/10.7759/cureus.6505
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author Zhuang, Thompson
El-Banna, Ghida
Frick, Steve
author_facet Zhuang, Thompson
El-Banna, Ghida
Frick, Steve
author_sort Zhuang, Thompson
collection PubMed
description Background Although clubfoot that was corrected in childhood rarely recurs in adulthood, persistent deformities or arthritic pain may require further treatment during adulthood. Little evidence exists on the operative procedures utilized in adult clubfoot patients, who were previously treated for congenital clubfoot in childhood, for residual or recurrent deformity or pain. Objective The objective of this study is to characterize the types and frequencies of procedures utilized in adult clubfoot patients, who were previously treated for congenital clubfoot in childhood. Methods A two-pronged approach was employed to describe the operative procedures used in adult clubfoot patients. First, a literature review of all reported cases of operative treatment in adult clubfoot patients who were previously treated in childhood was performed. Second, an analysis of the operative treatments used in adult patients with a diagnosis of congenital clubfoot was conducted using a large, administrative claims database. Results In the literature review, arthrodesis was the most cited operative treatment and reported in four out of the eight studies included. Osteotomies were also reported in the literature. In the database analysis, 94 hindfoot arthrodesis procedures were identified in 73 patients, out of 1,198 adult patients in the database with a diagnosis of congenital clubfoot. Sixty-two patients out of 1,198 adult clubfoot patients received osteotomies. An insufficient number of total ankle arthroplasties were reported for further analysis. Conclusions Operative treatment in adult clubfoot patients who were treated for congenital clubfoot in childhood includes hindfoot arthrodesis and osteotomy procedures. Total ankle arthroplasty has not been reported in the literature for these patients.
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spelling pubmed-69887242020-02-05 Arthrodesis of the Foot or Ankle in Adult Patients with Congenital Clubfoot Zhuang, Thompson El-Banna, Ghida Frick, Steve Cureus Orthopedics Background Although clubfoot that was corrected in childhood rarely recurs in adulthood, persistent deformities or arthritic pain may require further treatment during adulthood. Little evidence exists on the operative procedures utilized in adult clubfoot patients, who were previously treated for congenital clubfoot in childhood, for residual or recurrent deformity or pain. Objective The objective of this study is to characterize the types and frequencies of procedures utilized in adult clubfoot patients, who were previously treated for congenital clubfoot in childhood. Methods A two-pronged approach was employed to describe the operative procedures used in adult clubfoot patients. First, a literature review of all reported cases of operative treatment in adult clubfoot patients who were previously treated in childhood was performed. Second, an analysis of the operative treatments used in adult patients with a diagnosis of congenital clubfoot was conducted using a large, administrative claims database. Results In the literature review, arthrodesis was the most cited operative treatment and reported in four out of the eight studies included. Osteotomies were also reported in the literature. In the database analysis, 94 hindfoot arthrodesis procedures were identified in 73 patients, out of 1,198 adult patients in the database with a diagnosis of congenital clubfoot. Sixty-two patients out of 1,198 adult clubfoot patients received osteotomies. An insufficient number of total ankle arthroplasties were reported for further analysis. Conclusions Operative treatment in adult clubfoot patients who were treated for congenital clubfoot in childhood includes hindfoot arthrodesis and osteotomy procedures. Total ankle arthroplasty has not been reported in the literature for these patients. Cureus 2019-12-29 /pmc/articles/PMC6988724/ /pubmed/32025426 http://dx.doi.org/10.7759/cureus.6505 Text en Copyright © 2019, Zhuang et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Zhuang, Thompson
El-Banna, Ghida
Frick, Steve
Arthrodesis of the Foot or Ankle in Adult Patients with Congenital Clubfoot
title Arthrodesis of the Foot or Ankle in Adult Patients with Congenital Clubfoot
title_full Arthrodesis of the Foot or Ankle in Adult Patients with Congenital Clubfoot
title_fullStr Arthrodesis of the Foot or Ankle in Adult Patients with Congenital Clubfoot
title_full_unstemmed Arthrodesis of the Foot or Ankle in Adult Patients with Congenital Clubfoot
title_short Arthrodesis of the Foot or Ankle in Adult Patients with Congenital Clubfoot
title_sort arthrodesis of the foot or ankle in adult patients with congenital clubfoot
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988724/
https://www.ncbi.nlm.nih.gov/pubmed/32025426
http://dx.doi.org/10.7759/cureus.6505
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