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Revista Mexicana de Ortopedia Pediátrica

ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica
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2023, Number 1-3

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Rev Mex Ortop Ped 2023; 25 (1-3)

Mid-term functional outcomes in patients with vertical talus underwent surgical treatment

Ccarhuarupay-Barriga RJ, Barrón-Torres EA, Ordaz-Robles T
Full text How to cite this article 10.35366/113213

DOI

DOI: 10.35366/113213
URL: https://dx.doi.org/10.35366/113213

Language: Spanish
References: 10
Page: 5-10
PDF size: 156.03 Kb.


Key words:

vertical talus, classification, treatment.

ABSTRACT

Introduction: vertical talus is an infrequent but important pathology in pediatric orthopedics. Objectives: to describe medium-term functional results in patients with vertical talus undergoing surgical treatment regardless of the surgery performed, according to the Ogata and Schoenecker classification, surgical treatments. Material and methods: observational, descriptive, cross-sectional study. We included 40 patients and 63 feet postoperative by vertical talus with follow-up between 5 and 11 years at Shriners Hospital for Children, Mexico. They were classified into three groups according to Ogata and Schoenecker, functional assessment was obtained by applying the Laaveg Ponseti questionnaire. Results: the average age was 12.3 ± 2.78 years, and 7.9 ± 2.18 years elapsed since surgery; functional results: very good (60.3%), good (28.6%), fair (7.9%), poor (3.2%); in the idiopathic group 18 feet, in the one associated with other anomalies without neurological deficit 34 and the one associated with neurological disorders 11. In the three groups, very good functional results prevailed with 50, 61.8, and 72.7%, respectively. The most used surgery, a single surgical time with internal and posterior approach. Conclusions: the functional results are good or very good regardless of the surgery and these are maintained when analyzing them by groups; a single surgical time with medial and posterior approach was the most used.


REFERENCES

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  8. Jacobsen ST, Crawford AH. Congenital vertical talus. J Pediatr Orthop. 1983; 3(3): 306-10.

  9. Yang JS, Dobbs MB. Treatment of congenital vertical talus: comparison of minimally invasive and extensive soft-tissue release procedures at minimum five-year follow-up. J Bone Joint Surg Am. 2015; 97(16): 1354-1365.

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EVIDENCE LEVEL

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Rev Mex Ortop Ped. 2023;25