Reconstructive surgery in recurrent deformity (clubfoot relapse)

Abstract

Introduction Recurrent clubfoot deformity may be due to either an imperfect initial correction, or a natural history of a severe disease. In the later, idiopathic clubfoot is uncommon. In the review we describe reconstructive surgery in recurrent deformity of idiopathic clubfoot. Material and methods Surgery may be justified at different age and according to the type of deformity. Different surgical approaches and their indications are exposed in the article. Results After Ponseti’s method application additional surgeries may be considered in recurrent clubfoot deformity which may represent 10 to 20 % of cases: second Achilles tenotomy, postero-lateral relapse, complete antero-medial and postero-lateral relapse, transfer of the anterior tibial tendon, correction of sequelae: metatarsus varus, residual equinus, residual rotation of the calcaneopedal unit. Conclusion Idiopathic equine varus clubfoot is a frequent condition. Well-codified management should lead to extremely favorable functional results. Unfortunately, some cases lead to a recurrence of the deformity. Surgical procedures are sometimes required. The goal is to avoid as much as possible arthrodesis and secondary degenerative arthritis.

Aneurismal bone cyst of the medial cuneiform bone: a case report of a new surgical approach and literature review

“…The application of fibular grafts in the reconstruction of bone defects caused by trauma, osteomyelitis, or tumor resection is an effective treatment option [19]. The use of the Ilizarov apparatus showed its effectiveness in the challenges of foot surgery [20,21]. Due to these reasons, we decided to use a combination technique of Ilizarov external fixation and bone grafting providing an opportunity to start early weight-bearing instead of screw or plate fixation.…”