Growth Disturbance of the Distal Tibia in XXXX With Idiopathic Clubfeet: Ankle Valgus and Anteflexion of the Distal Tibia.

@entity1 @entity85 @entity5149
BACKGROUND: The aim of this study was to evaluate the incidence of @entity85 in @entity1 with idiopathic clubfeet who had undergone surgical intervention with a circumferential release through a Cincinnati incision in early infancy. METHODS: A retrospective follow-up evaluation of @entity1 with @entity5149 was conducted. We reviewed @entity1 who had undergone surgical treatment by a circumferential release in our department after unsuccessful casting, and who were at least 10 years of age. Main focus was the measurement of anteroposterior and lateral view radiographs for distal @entity85 . Of 65 @entity1 (93 feet) who had surgery for @entity5149 from 1998 to 2002, radiographic data of 35 @entity1 (52 feet) were analyzed. RESULTS: An @entity85 was present in 25 of 52 feet (48.1%) and a @entity85 in 29 of 52 feet (55.8%). A flat-top talus was evident to some degree in all cases. An abnormal lateral talocalcaneal angle was evident in 42.3%. CONCLUSIONS: These results show the importance of conducting follow-up evaluations on @entity1 with @entity5149 for @entity85 . This is the first study, to our knowledge, highlighting the high incidence of distal @entity85 after surgery for @entity5149 . It is unclear at this time whether this is also true for clubfeet after conservative treatment. However, @entity1 with clubfeet should have radiographs of the ankle joint between the age of 10 and 12 years to be able to treat possible @entity85 through guided growth. LEVEL OF EVIDENCE: Level III.
