Early Results of a New Method of Treatment for Idiopathic Congenital Vertical Talus

Dobbs, Matthew B.; Purcell, Derek B.; Nunley, Ryan M.; Morcuende, José A.

doi:10.2106/jbjs.f.01011

Cited by 29 publications

(35 citation statements)

References 4 publications

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“…This brace was used on the basis of round-the-clock and only during night time for non-walking and walking children, respectively. The latter group used an ankle foot orthosis with the same characteristics as the shoes used by Dobbs while walking [15,16]. All patients used the brace for 2 years.…”

Section: Methodsmentioning

confidence: 99%

Primary outcomes of the congenital vertical talus correction using the Dobbs method of serial casting and limited surgery

Aslani¹,

Sadigi²,

Tabrizi³

et al. 2012

Journal of Children's Orthopaedics

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Introduction The traditional treatment for congenital vertical talus, which involves serial casting and extensive soft-tissue releases, has been associated with severe stiffness and other complications in adolescents and adults. Our hypothesis is that favorable results will be obtained using the Dobbs method of serial manipulation, casting, and limited surgery for vertical talus correction, even in older children and syndromic cases. Therefore, the present study aimed at evaluating the Dobbs method in such cases. Materials and methods We treated 15 feet of 10 patients (aged from 1 month to 9 years) using manipulation and serial casting or the reverse Ponseti method followed by percutaneous Achilles tenotomy and limited open reduction of the talonavicular joint. All patients were evaluated both clinically and radiologically in a mean follow-up period of 2 years. Results After 2 years, all patients had plantigrade and flexible feet with good radiographic correction. The mean talocalcaneal angle before (70.5°± 10.5) and after (31°± 5.2) treatment and the talar axis metatarsal base angle before (60°± 11.4) and after (15°± 6.7) treatment were significantly improved (P \ 0.001). Discussion Recent research has shown that manipulation and serial casting followed by limited surgery (Dobbs method) was successful in treating idiopathic congenital vertical talus. Our results also showed that this method resulted in an excellent outcome in both idiopathic and syndromic congenital vertical talus, even in older children.

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Section: Methodsmentioning

confidence: 99%

Primary outcomes of the congenital vertical talus correction using the Dobbs method of serial casting and limited surgery

Aslani¹,

Sadigi²,

Tabrizi³

et al. 2012

Journal of Children's Orthopaedics

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“…The traditional surgical approach involving extensive soft-tissue release, while effective for gaining initial correction in many cases, is associated with several potential complications, including wound necrosis, osteonecrosis, inadequate correction of the deformity, stiffness of the ankle and subtalar joints, and amputation in extreme cases 2,[13][14][15][16] . A minimally invasive technique for correcting vertical talus that relies primarily on serial casting was introduced almost ten years ago 17,18 . Multiple centers have reproduced the effectiveness of this technique in achieving initial correction (both radiographically and clinically), while maintaining excellent motion in the foot and ankle, for patients with both isolated and non-isolated vertical talus 10,[19][20][21][22][23][24][25][26] .…”

mentioning

confidence: 99%

Treatment of Congenital Vertical Talus: Comparison of Minimally Invasive and Extensive Soft-Tissue Release Procedures at Minimum Five-Year Follow-up

Yang

Dobbs

2015

The Journal of Bone and Joint Surgery

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“…A detailed description of the vertical talus families has been previously described [8]. All clubfeet were treated successfully using the Ponseti method [16] and all of the vertical talus feet were corrected using a new method of treatment described by Dobbs et al [9,10]. The study protocol was approved by the Washington University Human Research Protection Office, and all subjects and/or their parents gave informed consent.…”

Section: Methodsmentioning

confidence: 99%

Skeletal Muscle Contractile Gene (TNNT3, MYH3, TPM2) Mutations Not Found in Vertical Talus or Clubfoot

Gurnett

Alaee²,

Desruisseau³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Arthrogryposis presents with lower limb contractures that resemble clubfoot and/or vertical talus. Recently, mutations in skeletal muscle contractile genes MYH3 (myosin heavy chain 3), TNNT3 (troponin T3), and TPM2 (tropomyosin 2) were identified in patients with distal arthrogryposis DA2A (Freeman-Sheldon syndrome) or DA2B (Sheldon-Hall syndrome). We asked whether the contractile genes responsible for distal arthrogryposis are also responsible for cases of familial clubfoot or vertical talus. We determined the frequency of MYH3, TNNT3, and TPM2 mutations in patients with idiopathic clubfoot, vertical talus, and distal arthrogryposis type 1 (DA1). We resequenced the coding exons of the MYH3, TNNT3, and TPM2 genes in 31 patients (five with familial vertical talus, 20 with familial clubfoot, and six with DA1). Variants were evaluated for segregation with disease in additional family members, and the frequency of identified variants was determined in a control population. In one individual with DA1, we identified a de novo TNNT3 mutation (R63H) previously identified in an individual with DA2B. No other causative mutations were identified, though we found several previously undescribed single-nucleotide polymorphisms of unknown importance. Although mutations in MYH3, TNNT3, and TPM2 are frequently associated with distal arthrogryposis syndromes, they were not present in patients with familial vertical talus or clubfoot. The TNNT3 R63H recurrent mutation identified in two unrelated individuals may be associated with either DA1 or DA2B.

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Early Results of a New Method of Treatment for Idiopathic Congenital Vertical Talus

Cited by 29 publications

References 4 publications

Primary outcomes of the congenital vertical talus correction using the Dobbs method of serial casting and limited surgery

Primary outcomes of the congenital vertical talus correction using the Dobbs method of serial casting and limited surgery

Treatment of Congenital Vertical Talus: Comparison of Minimally Invasive and Extensive Soft-Tissue Release Procedures at Minimum Five-Year Follow-up

Skeletal Muscle Contractile Gene (TNNT3, MYH3, TPM2) Mutations Not Found in Vertical Talus or Clubfoot

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