Acta Ortopédica Mexicana

Romero AJAC, Martínez UN
Treatment of adduct club foot with the Cincinnati incision at Hospital para el Niño Poblano
Acta Ortop Mex 2006; 20 (5)

Language: Español
References: 9
Page: 201-205
PDF: 135.92 Kb.

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Clubfoot or talipes equinovarus is a condition seen frequently at Hospital para el Niño Poblano (a children’s hospital) with congenital etiology having the highest rates. A descriptive, observational, cross-sectional, retrospective study was done from January 2002 to January 2004. A total of 18 patients were included: 16 with congenital disease and two associated with myelodysplasia; 3 cases were bilateral and 15 unilateral, among the latter 8 involved the right foot and 7 the left one; mean age was 12 months and the highest frequency occurred at 4 months. The surgical approach consisted of a Cincinnati-type incision. Fifteen patients did well, and among the remaining ones, one had great toe and surgical wound necrosis, two underwent revision surgery due to relapse of deformities and hypercorrection.

Key words: clubfoot, abnormalities, neural tube defects, surgery.


  1. Huerta Villaseñor OVM, De la Torre GD, Villaseñor JJ, Gómes Llata GS: Técnica de liberación posteromedial para la deformidad del pie bot idiopático rígido. Rev Mexicana de Ortopedia y Traumatología 2000; 14(5): 393-6.

  2. Tachdjian MO: Ortopedia Pediátrica 2da edición; Chicago Illinois. Mc Graw Hill, 1994; 4: 2648-63.

  3. Turco VJ: Surgical correction of the resistant clubfoot. One stage posteromedial release with internal fixation. A preliminary report. J Bone and Joint Surg; 1971; 53(3):477-97.

  4. Carrol NC: Congenital clubfoot pathoanatomy and treatment. AAOS Inst. Course Lect. 1987; 36.

  5. Crawford HA, Marxen JL, Osterfield DL: Cincinnati incision: comprehensive approach for surgical procedures of the foot and ankle in childhood. J Bone and Joint Surgery 1982; 64(9): 1355-8.

  6. Diméglio A, Bensabel H, Suchet P, Bennet F: Classification of club foot. J Pediatric Orthop 1995; (4): 129-36.

  7. López GE: Modificación V-Y de la insición de Cinccinnati. Reporte preliminar. Revista Boliviana de Ortopedia y Traumatología 2002; 12(1): 33.

  8. Tomas RH, O Doherty DP: Wound healing following partial closure of Cincinnati incisión. Result in surgery for congenital talipes equinovarus. Foot and Ankle Surgery 2003; (8): 89.

  9. Stanheli: Ortopedia Pediatrica. Madrid España. Edt. Marbán. 2003. 102.