Traitement chirurgical de déformations sévères en varus équin des pieds chez l’enfant et l’adolescent en Afrique

Corinne, Bronfen; Marcucci, Lucienne; Pierrard, G.; Banallec, L.; Simaga, Abdul Karim; Traoré, Terna; Laquievre, Antoine

doi:10.1016/j.rcot.2019.01.019

Cited by 1 publication

(1 citation statement)

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“…Equine varus foot deformities are common in Africa [1] [2] and in developing countries [3] [4]. The origin of these deformities is congenital or acquired.…”

Section: Introductionmentioning

confidence: 99%

Double Arthrodesis, Postero-Medial Release and Posterior Tibial Transfer in One Step in Paralytic Inveterate Equine Varus Foot

Coulibaly¹,

Sanogo²,

Tambassi³

et al. 2023

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Introduction: Varus equine foot deformity is common in developing countries. The management of these deformities is surgical in adults. Several surgical techniques have been described with more or less satisfactory results. To our knowledge, no study has been performed on the simultaneous association of double arthrodesis, posteromedial release, and posterior tibial transfer in a single operation in inveterate paralytic varus equines feet. The purpose of this work was to evaluate the results obtained. Patients and Method: This was a retrospective descriptive study from January 01, 2018 to December 31, 2021. It concerned inveterate paralytic varus equines feet operated on by the simultaneous association in a single operative time of double arthrodesis of the foot, posteromedial release of the back foot and transfer of the posterior tibial muscle to the lateral cuneiform. We identified seven patients with a mean age of 22.1 years with extremes of 11 years and 36 years. There were three males and four females. The cause of the deformity was neurological in all cases. All patients had painful walking discomfort and shoeing difficulties. The average time to management was 13.3 years with extremes of 4 and 25 years. The chronology of the interventional steps was posteromedial release, arthrodesis, and transfer of the posterior tibial muscle to the lateral cuneiform. The average postoperative follow-up was 21.7 months with extremes of 6 and 48 months. The parameters studied were the duration of the procedure, complications related to the procedure, muscle strength at the last recoil, consolidation of the arthrodesis, residual pain, patient activity, gait perimeter, stepping, ankle mobility, residual deformity, footwear, protrusion of the transferred tendon, and the possibility of walking on the heel.

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“…Equine varus foot deformities are common in Africa [1] [2] and in developing countries [3] [4]. The origin of these deformities is congenital or acquired.…”

Section: Introductionmentioning

confidence: 99%

Double Arthrodesis, Postero-Medial Release and Posterior Tibial Transfer in One Step in Paralytic Inveterate Equine Varus Foot

Coulibaly¹,

Sanogo²,

Tambassi³

et al. 2023

View full text Add to dashboard Cite

show abstract

Traitement chirurgical de déformations sévères en varus équin des pieds chez l’enfant et l’adolescent en Afrique

Cited by 1 publication

References 4 publications

Double Arthrodesis, Postero-Medial Release and Posterior Tibial Transfer in One Step in Paralytic Inveterate Equine Varus Foot

Double Arthrodesis, Postero-Medial Release and Posterior Tibial Transfer in One Step in Paralytic Inveterate Equine Varus Foot

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