Abstract
Aims: Aim of this study was to evaluate the clinical and radiological results after operative treatment of congenital clubfoot by the Cincinnati-approach
Methods: Between 1996– 2000 52 children with congenital clubfoot were operated with a peritalar release by using the Cincinnatti approach. 35 of them were male, 17 female. 24 had clubfeet on both sides. The age at operation was 3–17 months (mean 5,3 months). The age at follow up was 24–90 months (mean 58 months). In the follow-up at least 2 years after operative treatment the results were analysed by the score of McKay. In addition we evaluated the radiographs by the standard method of Simons.
Results: In the postoperative clinical evaluation using the McKay-Score: we found in 35% excellent, 41% good, 21% fair, 2% poor, 1% bad results. The Simons-Score was used to evaluate the radiographic postoperative results. The talocalcaneal angle a.p. was in 19% < 20° (= incomplete correction), in 76% between 20° and 40° (= normal) and in 5% > 40° (= overcorrection). The talo-calcaneal angle lateral was in 8% < 30° (= incomplete correction), in 82% between 30° and 50° (= normal) and in 10% > 50° (= overcorrection). The position of the navicular bone in the apview was in 65% 0 (= normal), in 20% +1/+2 (= overcorrected but satisfactory), in 3% +3/+4 (= marked overcorrection, not satisfactory) and in 12% (−) (= incomplete correction).
Conclusion: In conclusion by using this protocol we could show a high frequency of satisfactory results concerning function and cosmetics.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
