Our experience in the surgical treatment of the congenital equinovarus foot (1995-2005)
Keywords:
EQUINUS DEFORMITY, OSTEOTOMY, HUMAN, CHILDAbstract
We reviewed the records of 71 patients surgically treated for presenting a congenital equinovarus foot during a period of ten years with the purpose of analyzing the obtained results, being 42 of bilateral presentation and 29 unilateral; 18 of them corresponded to the right foot. 76 % of the surgical interventions in our service were made in the low extremities, and 41 % corresponded to the foot, being the equinovarus foot on the second place. The treatment in our service is realized by stages, and 50% of the patients need surgical treatment. Nowadays we make surgeries in earlier ages than before, preferring to make them between the age of 6 and 12 months. We decide the age to begin the surgical treatment and the technique to use, according to the foot characteristics.We arrived to the conclusion that the success of the treatment depends on the personalized attention of the doctor, on the individualization of each patient's treatment and on the realization of the surgical treatment in the precise moment. The 95 % of the patients evaluated as good is considered satisfactory.
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