Abstract
We report our experience at the Pediatric Hospital “Ricardo Gutierrez” in Buenos Aires. 11 diplegic patients (8 male, 3 female) who presented severe neurological valgus feet were treated with the Dennyson Fulford technique between 1996 and 2000. 7 patients had a bilateral deformity and 4 unilateral deformity . Patients’ ages averaged 9.5 years (range, 7–12 years). The average follow up was 2 years and 3 months (range, 7 months–5 years).
We took into consideration the following parameters to evaluate the results: 1- hind foot position, 2- adaptation to the orthosis 3- pain. The results were excellent in 10 feet, good in 6 feet and poor in 2 feet.
The results obtained with the subtalar fusion using a screw for fixation coupled with bone graft were considered satisfactory on obtaining 88% of good and fair results and a good acceptance among patients. We consider that the Dennyson Fulford technique allows an proper reduction with few complications and we emphasize it as the best option among other current surgical techniques for this pathology.
