Management of Complex Foot Deformities in Children
Volume 10 | Issue 2 | May-August 2024 | Page: 34-39 | Sagar Umerjikar, Abhishek V. Mundargi, Koushik N. Subramanyam
DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.190
Submitted: 25/05/2024; Reviewed: 24/06/2024; Accepted: 21/07/2024; Published: 10/08/2024
Authors: Sagar Umerjikar MS Ortho [1], Abhishek V. Mundargi MS Ortho [1], Koushik N. Subramanyam MS Ortho [1]
[1] Department of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences, Prasanthigram, Puttaparthi, Andhra Pradesh, India.
Address of Correspondence
Dr. Koushik Narayan Subramanyam ,
Department of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences, Prasanthigram, Puttaparthi, Andhra Pradesh, India.
E-mail: koushik.n@sssihms.org.in
Abstract
Aim: The aim of this article is to understand the intricacies of various complex foot deformities in children and non-operative and operative strategies in managing them by reviewing data from published literature.
Methods: A review of information pertaining to complex foot deformities in children was assimilated for holistic understanding of the condition along with their management from various sources from PubMed and Google Scholar.
Conclusion: Treatment of pediatric foot and ankle deformities is complex and must be individualized. The inter-individual phenotypic variability demands a personalized planning of each foot to be operated. Factors to consider are age at presentation, primary pathology causing the deformity and the underlying complex pathoanatomy. Treatment must also assess the possibility of relapse of the deformity and measures must be incorporated to prevent the same.
Keywords:
References
1. Kocaoğlu M, Eralp L, Atalar AC, Bilen FE. Correction of complex foot deformities using the Ilizarov external fixator. J Foot Ankle Surg. 2002 Jan-Feb;41(1):30-9. doi: 10.1016/s1067-2516(02)80007-2. PMID: 11858604.
2. Dhar S. Ilizarov external fixation in the correction of severe pediatric foot and ankle deformities. Foot Ankle Clin. 2010 Jun;15(2):265-85. doi: 10.1016/j.fcl.2010.03.001. PMID: 20534355.
3. Riganti S, Coppa V, Nasto LA, Di Stadio M, Calevo MG, Gigante AP, Boero S. Treatment of complex foot deformities with hexapod external fixator in growing children and young adult patients. Foot Ankle Surg. 2019 Oct;25(5):623-629. doi: 10.1016/j.fas.2018.07.001. Epub 2018 Jul 9. PMID: 30321938.
4. Reeves CL, Shane AM, Zappasodi F, Payne T. Surgical Correction of Rigid Equinovarus Contracture Utilizing Extensive Soft Tissue Release. Clin Podiatr Med Surg. 2016 Jan;33(1):139-52. doi: 10.1016/j.cpm.2015.06.009. Epub 2015 Aug 20. PMID: 26590731.
5. Vlachou M, Dimitriadis D. Split tendon transfers for the correction of spastic varus foot deformity: a case series study. J Foot Ankle Res. 2010 Dec 14;3:28. doi: 10.1186/1757-1146-3-28. PMID: 21156075; PMCID: PMC3016343.
6. Elgeidi A, Abulsaad M. Combined double tarsal wedge osteotomy and transcuneiform osteotomy for correction of resistant clubfoot deformity (the “bean-shaped” foot). J Child Orthop. 2014 Oct;8(5):399-404. doi: 10.1007/s11832-014-0613-0. Epub 2014 Oct 4. PMID: 25280469; PMCID: PMC4391053.
7. Rampal V, Giuliano F. Forefoot malformations, deformities and other congenital defects in children. Orthop Traumatol Surg Res. 2020 Feb;106(1S):S115-S123. doi: 10.1016/j.otsr.2019.03.021. Epub 2019 Oct 21. PMID: 31648997.
8. Moreira, A., Benjamin Ravetti, L., Carrapeiro Prina, D. et al. Anterior tibial tendon transfer in idiopathic clubfoot: pull-out vs. other fixations – a systematic review. BMC Musculoskelet Disord 25, 638 (2024). https://doi.org/10.1186/s12891-024-07621-9
9. Farsetti P, Dragoni M, Ippolito E. Tibiofibular torsion in congenital clubfoot. J Pediatr Orthop B. 2012 Jan;21(1):47-51. doi: 10.1097/BPB.0b013e32834d4dc3. PMID: 22027706.
10. Walton DM, Liu RW, Farrow LD, Thompson GH. Proximal tibial derotation osteotomy for torsion of the tibia: a review of 43 cases. J Child Orthop. 2012 Mar;6(1):81-5. doi: 10.1007/s11832-012-0384-4. Epub 2012 Jan 31. PMID: 23448753; PMCID: PMC3303016.
11. Alkar F, Louahem D, Bonnet F, Patte K, Delpont M, Cottalorda J. Long-term Results After Extensive Soft Tissue Release in Very Severe Congenital Clubfeet. J Pediatr Orthop. 2017 Oct/Nov;37(7):500-503. doi: 10.1097/BPO.0000000000000703. PMID: 26633817.
12. Eidelman M, Kotlarsky P, Herzenberg JE. Treatment of relapsed, residual and neglected clubfoot: adjunctive surgery. J Child Orthop. 2019 Jun 1;13(3):293-303. doi: 10.1302/1863-2548.13.190079. PMID: 31312269; PMCID: PMC6598039.
13. Kirienko A, Villa A, Calhoun JH Ilizarov technique for complex foot and ankle deformities. Boca Raton: CRC Press, 2003.
14. van Bosse HJP. Challenging clubfeet: the arthrogrypotic clubfoot and the complex clubfoot. J Child Orthop. 2019 Jun 1;13(3):271-281. doi: 10.1302/1863-2548.13.190072. PMID: 31312267; PMCID: PMC6598040.
15. Conklin MJ, Kishan S, Nanayakkara CB, Rosenfeld SR. Orthopedic guidelines for the care of people with spina bifida. J Pediatr Rehabil Med. 2020;13(4):629-635. doi: 10.3233/PRM-200750. PMID: 33252095; PMCID: PMC7838956.
16. Horsch A, Petzinger L, Ghandour M, Putz C, Renkawitz T, Götze M. Defining Equinus Foot in Cerebral Palsy. Children (Basel). 2022 Jun 25;9(7):956. doi: 10.3390/children9070956. PMID: 35883940; PMCID: PMC9320304.
17. Kadhim M, Holmes L Jr, Church C, Henley J, Miller F. Pes planovalgus deformity surgical correction in ambulatory children with cerebral palsy. J Child Orthop. 2012 Jul;6(3):217-27. doi: 10.1007/s11832-012-0413-3. Epub 2012 Jun 20. PMID: 23814622; PMCID: PMC3400002.
18. Hochstetter-Owen J, Stott S, Williams SA. The efficacy of split tibial tendon transfers on functional gait outcomes for children and youth with cerebral palsy and spastic equinovarus foot deformities. Bone Jt Open. 2023 May 1;4(5):283-298. doi: 10.1302/2633-1462.45.BJO-2023-0005.R1. PMID: 37121581; PMCID: PMC10149292.
19. Wirth T. Congenital Vertical Talus. Foot Ankle Clin. 2021 Dec;26(4):903-913. doi: 10.1016/j.fcl.2021.08.002. Epub 2021 Oct 7. PMID: 34752243.
20. Altaf KA, Shah SBS, Ahmad S, Mumtaz U, Mantoo SA. Results of JESS (Joshi’s External Stabilizing System) in Relapsed, Neglected and Neurogenic Clubfoot in an Age Group of 2-10 Years. Ortop Traumatol Rehabil. 2020 Apr 30;22(2):121-129. doi: 10.5604/01.3001.0014.1170. PMID: 32468991.
| How to Cite this Article: Umerjikar S, Mundargi AV, Subramanyam KN | Management of Complex Foot Deformities in Children | International Journal of Paediatric Orthopaedics | May-August 2024; 10(2): 34-39. |
