Targeted Minimally Invasive Percutaneous Posteromedial Release of Residual Clubfoot in Myelomeningocele Patients: A Report of Two Cases

Congenital talipes equinovarus (CTEV) is commonly associated with myelomeningocele (MMC). It is thought to be a mixture of intrauterine development and a result of an imbalance in muscular innervation. Conservative management has been explored for those cases, but most resulted in recurrence. In thi...

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Detalles Bibliográficos
Autores principales: Alsiddiky, Abdulmonem, Alghnimei, Naief, Alfadhil, Rheema, Alharbi, Sultan K, Alsharidah, Abdulrahman M, Albusayes, Nora, Albarrak, Reema, Alsubaie, Abdulaziz A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Physical Medicine & Rehabilitation
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391568/
https://www.ncbi.nlm.nih.gov/pubmed/36000099
http://dx.doi.org/10.7759/cureus.27084
Descripción
Sumario:Congenital talipes equinovarus (CTEV) is commonly associated with myelomeningocele (MMC). It is thought to be a mixture of intrauterine development and a result of an imbalance in muscular innervation. Conservative management has been explored for those cases, but most resulted in recurrence. In this study, we report two cases where targeted minimally invasive percutaneous posteromedial release of residual clubfoot was done using an 18-gauge needle and a small incision for the cuboid osteotomy. In both cases, we achieved plantigrade shoeable/braceable feet. Both cases are still followed in our clinic. They require further follow-up to assess their long-term outcomes.

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