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Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique

Congenital vertical talus is a rare and complex foot anomaly. Serial casting with or without minimally invasive surgery is a universal management strategy especially for children in the first year of life. Nevertheless, extensive surgical treatment of late-presenting, neglected and multiple operated...

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Autores principales: EL-Sobky, Tamer A., Samir, Shady, Mahmoud, Shady
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255489/
https://www.ncbi.nlm.nih.gov/pubmed/31356503
http://dx.doi.org/10.1097/BPB.0000000000000663
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author EL-Sobky, Tamer A.
Samir, Shady
Mahmoud, Shady
author_facet EL-Sobky, Tamer A.
Samir, Shady
Mahmoud, Shady
author_sort EL-Sobky, Tamer A.
collection PubMed
description Congenital vertical talus is a rare and complex foot anomaly. Serial casting with or without minimally invasive surgery is a universal management strategy especially for children in the first year of life. Nevertheless, extensive surgical treatment of late-presenting, neglected and multiple operated children with congenital vertical talus may be required with guarded results. The results of naviculectomy as a more conservative intervention and directed exclusively at ambulatory children with intractable congenital vertical talus have not been reported. We present the radioclinical outcomes of two ambulatory children with intractable congenital vertical talus treated by naviculectomy/midtarsal resection and limited soft tissue release. One child had an isolated congenital vertical talus whereas the other had a non-isolated etiology. Generally, naviculectomy/midtarsal resection revealed a positive benefit-risk profile in children with intractably severe congenital vertical talus on the short-term. We reported favorable results in terms of foot appearance, function and radiology. We believe that a less invasive procedure like naviculectomy/midtarsal resection is an encouraging technique to investigate in children with intractable congenital vertical talus.
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spelling pubmed-72554892020-06-29 Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique EL-Sobky, Tamer A. Samir, Shady Mahmoud, Shady J Pediatr Orthop B Leg & Foot Congenital vertical talus is a rare and complex foot anomaly. Serial casting with or without minimally invasive surgery is a universal management strategy especially for children in the first year of life. Nevertheless, extensive surgical treatment of late-presenting, neglected and multiple operated children with congenital vertical talus may be required with guarded results. The results of naviculectomy as a more conservative intervention and directed exclusively at ambulatory children with intractable congenital vertical talus have not been reported. We present the radioclinical outcomes of two ambulatory children with intractable congenital vertical talus treated by naviculectomy/midtarsal resection and limited soft tissue release. One child had an isolated congenital vertical talus whereas the other had a non-isolated etiology. Generally, naviculectomy/midtarsal resection revealed a positive benefit-risk profile in children with intractably severe congenital vertical talus on the short-term. We reported favorable results in terms of foot appearance, function and radiology. We believe that a less invasive procedure like naviculectomy/midtarsal resection is an encouraging technique to investigate in children with intractable congenital vertical talus. Lippincott Williams & Wilkins 2020-05-28 2020-07 /pmc/articles/PMC7255489/ /pubmed/31356503 http://dx.doi.org/10.1097/BPB.0000000000000663 Text en Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Leg & Foot
EL-Sobky, Tamer A.
Samir, Shady
Mahmoud, Shady
Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique
title Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique
title_full Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique
title_fullStr Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique
title_full_unstemmed Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique
title_short Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique
title_sort naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique
topic Leg & Foot
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255489/
https://www.ncbi.nlm.nih.gov/pubmed/31356503
http://dx.doi.org/10.1097/BPB.0000000000000663
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