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2014, Number 2

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Gaceta Médica Espirituana 2014; 16 (2)

New therapeutic approach of the congenital metatarsus varus and residual varus equine foot. Five-year study

Rodríguez REI, Arredondo RR, López MN
Full text How to cite this article

Language: Spanish
References: 30
Page:
PDF size: 199.85 Kb.


Key words:

clubfoot, surgery, foot deformities congenital, orthopedic procedures.

ABSTRACT

Background: the metatarsus varus is a frequent illness in the deformities of the foot of the neonate. Objective: to value the new therapeutic approach in the congenital metatarsus varus and residual varus equine foot in a five-year study. Methodology: a descriptive longitudinal study in 81 children with the metatarsus varus diagnosis was carried out, these children were cared in the Orthopedics and Traumatologic service of the Pediatric University Hospital "Eduardo Agramonte Piña", from January, 2002 to December, 2007. Starting from the direct consultation with 30 experts, the results were processed statistically with the test of Alpha of Cronbach. Results: the congenital metatarsus varus, bilateral feet and the age five to nine years prevailed. The final result was good in all of the patients when correcting the clinical static parameter and in most them the dynamic one. Conclusions: the new therapeutic approach unites the clinical and radiological criteria for a better diagnosis of the metatarsus varus. The technique is effective and simple as it is less invasive on soft parts, complications are minimal as it is carried out in a brief surgical time and less expendable material is used for which it brings about economic benefits to the country. The obtained results are conclusive because the series is suitable and the performed follow up was long term.


REFERENCES

  1. Coughlin MJ, Saltzman CL, Anderson RB. Congenital Foot Deformities. In: Mann’s Surgery of the Foot and Ankle [Internet]. España: Saunders, an imprint of Elsevier Inc; 2013. [citado 20 nov 2013]. Disponible en: https://www.clinicalkey.com/#!/ContentPlayerCtrl/doPlayContent/3-s2.0- B9780323072427000334/{%22scope%22:%22all%22,%22query%22:%22metatarsus%20varus%22}

  2. Springfiel D, Brunicardi CH. Orthopaedics. In: Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunte JG, Pollock RE, editors. Schwartz's Principles of Surgery. 8th ed. España: McGraw-Hill Companies; 2004.

  3. Schiller JR. Foot Pathology. En: Elzouki AY,editor. Textbook of Clinical Pediatrics [Internet]. Alemania: Springer-Verlag Berlin Heidelberg;2012. [citado: 20 Nov 2013]. Disponible en: http://download.springer.com/static/pdf/632/chp%253A10.1007%252F978-3-642022029_410.pdf?auth66=1381984419_5069f107d9f6d89e4d85bd7b63c432fe&ext=.pdf

  4. Herring JA, Editors. Tachdjian's Pediatric Orthopaedics [Internet].España: Saunders, an imprint of Elsevier Inc; 2008[citado 20 nov 2013]. Disponible en: https://www.clinicalkey.com/#!/ContentPlayerCtrl/doPlayContent/3-s2.0-B978141602221350027X/{%22scope%22:%22all%22,%22query%22:%22Congenital%20metatarsus%20varus%22}

  5. Sankar WN, Weiss J, Skaggs DL. Orthopaedic conditions in the newborn. J Am Acad Orthop Surg [Internet]. 2009 Feb [citado 20 nov 2013];17(2):112-22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19202124

  6. Grosio A J. Metatarso varo. Pie talo. Astragalo vertical. En: Silberman Fernando S, Varaona Ó,editores. Ortopedia y Traumatología. 3ra ed. Buenos Aires: Editorial Médica Panamericana; 2010. p. 617-20.

  7. Kliegman RM, Stanton BF, St. Geme III JW, Schor NF, Behrman RE. Nelson Textbook of Pediatrics. Ed 19th. España: by Saunders, an imprint of Elsevier Inc; 2011. Available from: http://www.us.elsevierhealth.com/Medicine/Pediatrics/book/9781437707557/Nelson-Textbook-of-Pediatrics/

  8. Peabody CW, Muro F. Congenital metatarsus varus. J Bone Joint Surg Am [Internet]. 1933 Jan [citado: 2012 Mar 20];15(1):171-189. Available from: http://jbjs.org/content/15/1/171

  9. Kite JH. Congenital metatarsus varus: Report of 300 Cases. J Bone Joint Surg Am [Internet]. 1950 Jul [citado 2012 May 20];32(3):500-506. Available from: http://jbjs.org/content/32/3/500

  10. Vincent SM. The foot. En: Morrissy RT, Weinstein SL, editors. Lovell and Winter’s Pediatric Orthopaedics. Philadelphia: Lippincott Williams& Wilkins;2001.

  11. Einhorn R. Metatarsus adductus and Pediatric Patient. Surgical Options. [Internet]. [cited 2012 Feb 26]. Available from: http://www.nycpm.edu/surgclub/metatarsus.pdf

  12. Fritz H. Pediatric Orthopedics in Practice Foot and ankle. Berlin Heidelberg: Springer-Verlag; 2007.

  13. Lowe LW, Hannon A. Residual Adduction of the Forefoot in Treated. Congenital Club-foot. J Bone Surg Brist [Internet]. J Bone Joint Surg Br. 1973 Nov; [citado 2012 May 20];55(4):809-13. Available from: http://www.bjj.boneandjoint.org.uk/content/55-B/4/809.long

  14. Tracey M. Surgerys of Metatarsus Adductus. Pediatric [Internet]. 1999 [citado 2010 Feb 26] 11(5):17.] Available from: http://podiatry.curtin.edu.au/cgi- bin/pagestats

  15. Mahadev A, Munajat I, Mansor A, Hui JHP. Combined Lateral and Transcuneiform without Medial Osteotomy for Residual Clubfoot for Children Clin Orthop Relat Res [Internet]. 2009 Nov-Dec [citado 2012 Aug 12]; 467(5). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664442/

  16. Loza ME1, Bishay SN, El-Barbary HM, Hanna AA, Tarraf YN, Lotfy AA. Double column osteotomy for correction of residual adduction deformity in idiopathic clubfoot. Ann R Coll Surg Engl [Internet]. 2010 Nov [citado: 2012 Aug 12];92(8):673–679. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229377/

  17. Niedzielski K, Lipczyk Z, Klawe F, Flont P. The efficacy assessment ofcuboid and medial cuneiform bone wedge ostetomy in the treatment of metatarsus adductus. Chir Narzadow Ruchu Ortop Pol [Internet]. 2010 Sep-oct [citado: 2012 Aug 12];75(5):312-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/?term=The+efficacy+assessment+ofcuboid+and+medial+cuneiform+bone+wedge+ostetomy+in+the+treatment+of+metatarsus+adductus.+Chir+Narzadow+Ruchu+Ortop+Pol.+2010

  18. Beaty H J. Malformaciones congénitas de la extremidad inferior. En: Terry Canale S, editor. Campbell Cirugía Ortopédica S. 11 ed. España: Elservier; 2007.p. 983-88.

  19. Ghali NN, Aberton MJ, Silf FF. The management of metatarsus adducts and supinatus. J Bone Joint Surg Am [Internet]. 1984; [Citado 2011 May 15] 66(3):376-80. Available from: http://www.bjj.boneandjoint.org.uk/content/66-B/3/376.long

  20. Garzón C, Ochoa del Portillo G. Liberación medial restringida en el tratamiento quirúrgico del metatarso aducto congénito y el aducto residual en el pie equino varo congénito. Tres años de seguimiento. Rev. colomb. ortop. Traumatol. [Internet]; 1993 Jul 8[citado: 2012 Feb 26]; 7(2). Disponible en:http://www.encolombia.com/medicina/revistas-medicas/ortopedia/vol-729/ortopedia7293liberacion.

  21. Rodríguez Rodríguez E, Alvarez López A, Bueno Rodríguez P, Pérez González R. Técnica de Ghali modificada. A propósito de una variante para el tratamiento quirúrgico del metatarso varo. Arch Méd Camagüey AMC [Internet]. 2007 [citado: 2012 Feb 17];11(5). Disponible en: http://www.amc.sld.cu/amc/2007/v11n5-2007/2265.pdf

  22. Nazer Herrera J H, Hübner María E, Mardones Camila M. Luxación congénita de cadera. Displasia evolutiva de la cadera (DEC). Rev Hosp Clín Univ Chile. 2009 [citado: 2010 Feb 17]; 20(2):112-8. Disponible en: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&base=LILACS&lang=p&nextAction=lnk&exprSearch=545892&indexSearch=ID

  23. Cymet Ramírez J, Álvarez Martínez MM, García-Pinto G, Frías-Austria R,Meza-Vernis A, Rosales-Muñoz ME, et al. El diagnóstico oportuno de la displasia de cadera. Enfermedad discapacitante de por vida. Acta Ortopédica Mexicana [Internet]. 2011 Sep.-Oct [citado: 2012 Feb 17];25(5):313-322. Disponible en: http://www.medigraphic.com/pdfs/ortope/or-2011/or115j.pdf

  24. Loder RT, Skopelja NE. The Epidemiology and Demographics of Hip Dysplasia. ISRN Orthopedics [Internet]. 2011 Oct [citado: 2012 Feb 17];2011:238607. Available from: : http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063216/

  25. Gleason AC. Devaskar US Avery’s Diseases of the Newborn. En: Common Neonatal Orthopedic Ailments [Internet].España: Saunders, an imprint of Elsevier;2012. Available from: https://www.clinicalkey.com/#!/ContentPlayerCtrl/doPlayContent/3s2.0B9781437701340100964/{%22scope%22:%22all%22,%22query%22:%22metatarsus%20adductus%22}

  26. James R, Kasser J R.The Foot. En: Morrissy R T, Weinstein S L. Lovell & Winter's Pediatric Orthopaedic. España: Lippincott Williams & Wilkins; 2006.p.1258-1321.

  27. Ingalls J, Wissman R. The os supranaviculare and navicular stress fractures. Skeletal Radiology [Internet]. 2011 Jul [citado: 2012 Feb 17]; 40 (7):937- 941. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21484322

  28. Lemos DW , Greisberg J , Manoli A. Operative Fixation of Metatarsal Stress Fractures in Patients With Metatarsus Adductus. Techniques in Orthopaedics [Internet]. 2012 Apr [citado 2012 May 26];27(2). Available from: http://journals.lww.com/techortho/Abstract/2012/06000/Operative-Fixation _of_Metatarsal_Stress_Fractures.7.aspx

  29. Yoho RM, Scott Carrington BA. The association of metatarsus adductus to the proximal fifth metatarsal Jones fracture. J Foot Ankle Surg [Internet]. 2012 Nov-Dec [citado: 2013 Feb 26];51(6):739-42. Available from: http://www.sciencedirect.com/science/journal/10672516/51/6

  30. González Gil J, Llopis López L, Mesa Pena J. Metatarso Aductus. Estudio de una casuística. Rev Cubana Ortop y Traumatol. 1987; 2(2): 5.




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