Conservative treatment of congenital clubfoot in children

Cover Page

Cite item

Full Text

Abstract

In outpatient department of CITO 207 children with clubfoot were treated by Vilenskiy's functional technique. After application of plaster bandage from the middle third of the femur to the toes the influence was directed on the certain muscle groups. Then step-by-step application of fixative tutors from polymeric materials (polivik) was used. There were 3 groups of patients: 1st group — 126 patients were treated starting from the first month of life; I Ind group — 57 patients, aged 2—5 years,, after failed treatment at other hospitals; Illrd group — 24 patients with recurrence of the deformity after conservative treatment. Follow up ranged from 1 to 25 years. Good results were achieved in 94 cases (74.6%>) (I group), 31 (54.4%) (II group) and in 9 patients (37.5%)) (IIIgroup). Satisfactory results were noted in 15 (11.9%)), 8 (14%)), 5 (20.8%)) patients, respectively, and unsatisfactory results in 17 (13.4%)), 18 (31.6%)) and 10 (41.6%>), respectively.

About the authors

O. A. Malakhov

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

V. Ya. Vilensky

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

D. A. Shtulman

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

References

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Wedge-shaped gaskets made of foam rubber.

Download (297KB)
3. Rice. 2. The method of applying a functional plaster bandage. a - the first stage of bandaging; b - gypsuming of a wedge-shaped gasket made of foamed rubber; c - finished plaster cast with free space.

Download (656KB)
4. Fig. 3. Points of attachment of the gastrocnemius muscle (scheme). A~B is the distance between the points of attachment of the gastrocnemius muscle with the knee joint extended, C~D — with the knee joint bent at an angle of 90°.

Download (272KB)
5. Ric. 4. Patient K., diagnosis: congenital bilateral clubfoot, severe degree. a — before treatment (age 10 days); b — after conservative treatment (age 9 months).

Download (1MB)
6. Fig. 5. Patient B., diagnosis: congenital left-sided clubfoot of moderate severity, insufficiently corrected conservatively. After treatment with a functional method (age 4 years): appearance and volume of dorsiflexion of the foot in the ankle joint.

Download (535KB)
7. Fig. 6. Patient Zh., diagnosis: congenital right-sided clubfoot, deformity recurrence.

Download (735KB)

Copyright (c) 2022 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies