1985 Fiscal Year Final Research Report Summary
Long term follow up of congenital club foot and assessment of deformities of the tarsal bone
| Project/Area Number |
58440061
|
|---|
| Research Category |
Grant-in-Aid for General Scientific Research (A)
|
| Allocation Type | Single-year Grants |
|---|
| Research Field |
Orthopaedic surgery
|
|---|
| Research Institution | Hokkaido University |
|---|
Principal Investigator |
|
|---|
| Project Period (FY) |
1983 – 1985
|
| Keywords | Congenital club foot / Clinical severity / Early soft tissue release / Posterior release / Posteromedial release / Posterolateral release / 後外方解離術 |
|---|
| Research Abstract |
1) Clinical severity of the congenital club foot was evaluated.
a) Unilateral affected cases was well corrected with conservative manner (90%). 50% of bilateral cases, especially female cases, had tendency to be released surgically.
b) The lateral X-ray in passive maximum dorsiflexed, were good for prospect of conservative treatment. The clinical results with conservative treatment were firmly corelated to initial assessment before starting treatment.
2) 3 types of early soft tissue release for congenital clubfoot were cross examined retrospectively and were evaluated after 4-6 years later.
a) Posterior release were good for correct equinus but toeing-in gait and forefoot adductus were frequently recognized. Retrospective evaluation of the severity in this group showed relatively mild cases were included in this group.
b) Posterolateral release were much better than the other two method especially the correction of toeing-in gait and fore foot adductus.
c) Lichtblau's calcaneal head resection were good fore correct the shape of the foot. But the radiologically, irregurality of the calcaneo-cuboidal joint and dorsal subluxation of the cuboid were usual side effect of this method.
|
