The Clubfoot: The Present and a View of the Future

Front Matter....Pages i-xlviii
Front Matter....Pages 1-1
Etiological Theories of CTEV....Pages 2-2
Understanding Muscle Pathology....Pages 2-7
Morphometric Study of Muscles in Congenital Idiopathic Clubfoot....Pages 7-15
Histochemical Studies in Congenital Clubfeet....Pages 16-21
Muscle Pathology in Clubfoot and Lower Motor Neuron Lesions....Pages 21-31
Etiological Considerations of Congenital Clubfoot Deformity....Pages 31-38
Neurogenic Origin of Talipes Equinovarus....Pages 39-42
Anomalous Muscles in Clubfeet....Pages 42-48
A Vascular Hypothesis for the Etiology of Clubfoot....Pages 48-59
Color Doppler Imaging for Assessment of Arterial Anatomy in Congenital Skeletal Foot Deformity....Pages 59-62
Back Matter....Pages 62-65
Front Matter....Pages 66-66
Neuropsychiatric Assessment of Infants Treated Surgically for Congenital Clubfoot During the First Year of Life....Pages 67-68
A Mathematical Model of Congenital Clubfoot....Pages 68-76
Recognition and Management of the Atypical Idiopathic Clubfoot....Pages 76-77
Magnetic Resonance Imaging in Congenital Talipes Equinovarus....Pages 77-80
Gait Analysis in Clubfeet: An Experimental Study....Pages 81-84
Back Matter....Pages 84-87
Classification Versus Evaluation of Congenital Talipes Equinovarus....Pages 89-90
Clinical Classification of Congenital Clubfeet....Pages 91-92
Classification of Talipes Equinovarus....Pages 92-93
Clinical Assessment of Clubfoot Deformity....Pages 93-96
Preoperative Clinical Assessment of Clubfoot....Pages 97-98
Back Matter....Pages 139-142
CTEV Equinus Severity Grading Scale....Pages 98-102
Intraoperative Evaluation Form (Checklist)....Pages 103-103
Can Clubfeet Be Evaluated Accurately and Reproducibly?....Pages 104-113
Functional Rating System for Evaluation of Long-Term Results of Clubfoot Surgery....Pages 114-116
Postoperative Rating System For Clubfeet....Pages 117-117
Surgical Follow-Up: Talipes Equinovarus....Pages 118-119
Classification and Evaluation of Congenital Talipes Equinovarus....Pages 120-139
Back Matter....Pages 139-142
The First Ray Angle....Pages 143-146
The Relationship Between Functional Results and Radiographs in One-Stage Posteromedial Release....Pages 147-151
Modified Posteromedial Release....Pages 151-156
Intraoperative X-Ray as a Standard for Accuracy of Correction by Posteromedial Release of CTEV....Pages 156-159
Arthography of Congenital Clubfoot....Pages 159-166
Back Matter....Pages 166-168
Noninvasive Vascular Studies in Clubfoot....Pages 169-172
A Comparison of Arteriographic and Doppler Techniques in Evaluating the Abnormal Arterial Patterns in Talipes Equinovarus....Pages 172-177
Anomalous Circulation in Clubfoot....Pages 178-184
Back Matter....Pages 184-186
A New Articulated Splint for Clubfeet....Pages 187-190
Nonoperative Management of the Equinovarus Foot: Long-Term Results....Pages 191-193
Back Matter....Pages 193-195
Front Matter....Pages 196-196
Indications for Limited Soft Tissue Release in Congenital Talipes Equinovarus....Pages 197-198
The Cincinnati Incision: an Approach for Extensive Dissection of the Foot and Ankle....Pages 198-201
The Cincinnati Approach in Clubfeet....Pages 201-207
Back Matter....Pages 229-233
Front Matter....Pages 196-196
A Comparative Result of Posteromedial Release Versus Posteromedial and Lateral Release for Idiopathic Talipes Equinovarus Using the Cincinnati Incision....Pages 208-209
Medial Rotation of the Talus and Complete Calcaneocuboid Release—Its Effect on the Surgical Results in Idiopathic Clubfoot....Pages 209-215
Surgical Release and Reduction of Congenital Talipes Equinovarus....Pages 216-223
Long-Term Review of Juvenile Clubfoot Correction by Posteromedial Release: Clinical and Radiological Results....Pages 223-229
Back Matter....Pages 229-233
Front Matter....Pages 234-234
The Use of Tissue Expanders in Clubfoot Surgery....Pages 235-241
Partial Wound Closure Following Clubfoot Surgery....Pages 241-244
The Role of the Calcaneocuboid Joint in Clubfeet....Pages 245-246
Technique of Plantar Release and Calcaneocuboid Joint Release in Clubfoot Surgery....Pages 246-252
Calcaneocuboid Joint Deformity in Talipes Equinovarus....Pages 253-261
Back Matter....Pages 261-264
Tibialis Anterior Lengthening in Clubfeet....Pages 265-266
Plantar Flexor Sheath Resection....Pages 266-268
Medical/Lateral Column Separation (Third Street Operation) for Dorsal Talonavicular Subluxation....Pages 268-271
Back Matter....Pages 271-274
Front Matter....Pages 275-275
Gradual Midfoot Distraction for the Treatment of Severe Adductus Deformity in Children with Clubfeet After Multiple Prior Operations....Pages 276-281
Controlled Differential Distraction for Correction of Complex Congenital Talipes Equinovarus....Pages 282-288
Correction of Clubfoot Deformity Without Osteotomy by the Use of the Ilizarov Method....Pages 288-293
The Ilizarov External Fixator in Severe Foot Deformities: Preliminary Results....Pages 293-297
Complex Foot Deformity Correction Using the Ilizarov Circular External Fixator with Distraction but Without Osteotomy....Pages 297-318
Back Matter....Pages 318-321
Complex Foot Deformity Correction Using the Ilizarov Circular External Fixator with Osteotomies....Pages 322-350
The Results of Talar Neck Osteotomy in Resistant Congenital Clubfoot....Pages 351-360
Brachymetatarsia of the First Metatarsal Treated by Surgical Lengthening....Pages 360-366
Back Matter....Pages 366-369
Front Matter....Pages 370-370
Causes and Prevention of Tourniquet Lesions in Congenital Talipes Equinovarus Surgery....Pages 371-374
Correction of the Overcorrected Clubfoot....Pages 374-376
The Cavus Component in Congenital Talipes Equinovarus....Pages 376-377
The Akron Midtarsal Dome Osteotomy in the Treatment of Rigid Pes Cavus....Pages 377-383
“Reverse Jones” Procedure for Dorsal Bunion Following Clubfoot Surgery....Pages 384-387
Back Matter....Pages 387-390
Anteromedial Soft Tissue Release for Persistent Adduction and Supination in Congenital Talipes Equinovarus....Pages 391-396
Tarsometatarsal Mobilization Combined with Anterior Tibialis Transfer: A Salvage Procedure for Residual Clubfoot Deformity....Pages 396-404
Opening-Wedge First Cuneiform Osteotomy (Usually with 2nd Through 4th Metatarsal Osteotomies) for Resistant Metatarsus Adductus Following Clubfoot Release....Pages 404-412
Combined Lateral Column Shortening and Medial Column Lengthening in the Treatment of Severe Forefoot Adductus....Pages 412-416
Treatment of Residual Clubfoot Deformity—The “Bean-Shaped” Foot—By Opening-Wedge Cuneiform Osteotomy and Closing-Wedge Cuboid Osteotomy: Clinical Review and Cadaver Correlations....Pages 417-426
Back Matter....Pages 426-431
Compartment Syndrome in the Clubfoot....Pages 432-442
Three Cases of Necrosis Following Clubfoot Surgery: A Proposed Vascular Etiology....Pages 442-448
Effects of Soft Tissue Release on the Development of the Tarsal Bones in Clubfeet....Pages 449-453
Analysis of Unfavorable Late Results After Early Posteromedial Release in Clubfeet....Pages 454-457
Reasons for Failure with Posteromedial Release....Pages 458-459
Back Matter....Pages 459-461
Front Matter....Pages 462-462
Comparative Evaluation of Two Surgical Techniques with and Without Subtalar Release....Pages 463-467
Comparison of Older with Newer Surgical Techniques for Talipes Equinovarus....Pages 468-469
Clubfoot: Experience at the University of South Alabama Medical Center....Pages 469-479
Evaluation of Surgical Treatment in Resistant Clubfoot: A Comparison of the Turco, Carroll, and Cincinnati Approaches....Pages 479-488
Comparative Review of Surgical Treatment of the Idiopathic Clubfoot by Three Different Procedures....Pages 488-501
Back Matter....Pages 501-504
Management of Neglected Clubfeet....Pages 505-506
Revision Surgery in Clubfeet....Pages 506-515
Clubfoot Revision Surgery....Pages 516-518
Summary of the First International Congress on Clubfeet....Pages 521-523
Back Matter....Pages 518-520
Preparing the Findings of the First International Congress on Clubfeet for Computer-Assisted Decision-Making....Pages 525-536
A Method for the Treatment of Congenital Clubfeet in Infants....Pages 536-541
Rationale for Planning the Initial Treatment of Clubfoot....Pages 542-546
Persistent and Relapsed Internal Rotation of the Foot After Soft Tissue Release....Pages 546-548
Follow-Up Study of a Method of Management of Congenital Talipes Equinovarus Deformities with Easily Available Surgical Facilities in Developing Countries....Pages 549-553
Early Treatment of Severe Idiopathic Clubfeet....Pages 553-568
Back Matter....Pages 568-569
Back Matter....Pages 571-587