What is the fate of clubfoot patients treated by posteromedial release?

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dc.authorid0000-0001-9052-4411
dc.authorid0000-0002-7794-9308
dc.contributor.authorİşyar, Mehmet
dc.contributor.authorÇakmak, Selami
dc.contributor.authorMahiroğulları, Mahir
dc.contributor.authorKeklikçi, Kenan
dc.contributor.authorEkinci, Mustafa Bahadır
dc.contributor.authorRodop, Osman
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:39Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:39Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractIntroduction: Management and long-term results of operatively treated clubfoot deformity still remains controversial. The aim of this study was to evaluate the radiological and clinical results of adult clubfoot patients treated with posteromedial release. Materials and methods: Between 2005 and 2012, we evaluated patients with congenital foot deformities regarding clubfoot who were operatively treated with complete posteromedial release. Out of 320 patients evaluated, 29 patients (40 feet) were included the study. We also included foot radiographies of 40 healthy adults. Talocalcaneal angle on the dorsoplantar projection (TC-DP) and lateral projection (TC-L) and talus–first metatarsal angle on the dorsoplantar projection (TFM-DP) were measured for both clubfeet and control groups. Laaveg–Ponseti functional rating system was used for clinical evaluation and measurement of lower leg circumference was used for detection of atrophy. Results: The average age was 21.5 years (range 19–34). The mean TC-DP angle was 16.97 in the clubfeet group and 21.03 in the control group. The mean TC-L angle was 23.34 in the clubfeet group and 33.98 in the control group. The mean TFM-DP angle was 9.02 in the clubfeet group and 7.9 in control group. There were statistically significant difference between clubfoot and control groups regarding the TC-DP angle and the TC-L angle. The average Laaveg–Ponseti score was 74 points (range 42–96). While no significant correlations could be detected between the TC-DP angle, the TC-L angle, the TFM-DP angle and the functional score, a significant correlation was detected between circumferential measurement of lower leg and functional score (p = 0.04). Conclusion: Functional outcome may be affected by lower leg muscular atrophy instead of foot alignment disturbance. Lastly we believe that results for treatment of clubfoot—a three-dimensional deformity—need to be evaluated with three-dimensional imaging techniques.
dc.identifier.citationİşyar, M., Çakmak, S., Mahiroğulları, M., Keklikçi, K., Ekinci, M. B. ve Rodop, O. (2015). What is the fate of clubfoot patients treated by posteromedial release? Archives of Orthopaedic and Trauma Surgery, 135(6), 789-794. https://dx.doi.org/10.1007/s00402-015-2213-y
dc.identifier.doi10.1007/s00402-015-2213-y
dc.identifier.endpage794
dc.identifier.issn0936-8051
dc.identifier.issue6
dc.identifier.scopusqualityQ1
dc.identifier.startpage789
dc.identifier.urihttps://hdl.handle.net/20.500.12511/891
dc.identifier.urihttps://dx.doi.org/10.1007/s00402-015-2213-y
dc.identifier.volume135
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Verlag
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectClubfoot
dc.subjectFoot Alignment Angles
dc.subjectFunctional Score
dc.subjectPosteromedial Release
dc.titleWhat is the fate of clubfoot patients treated by posteromedial release?
dc.typeArticle

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