Scribd Logo
Încărcați

Bine ați venit la Scribd!

  • Congenital Vertical Talus

    Încărcat de

    Kaizar Ennis
    159 vizualizări24 pagini
    The exact surgery indicated is determined by the age of the child and the severity of the deformity. Young child with a mild or moderate deformity, the technique of Kumar, cowell, and Ramsey is recommended. Older child with more severe or a recurrent deformity should have open reduction and a Grice extraarticular subtalar fusion. Child 12 years old or older with functional symptoms, a triple arthrodesis is preferred.

    Descriere originală:

    Drepturi de autor

    © Attribution Non-Commercial (BY-NC)

    Formate disponibile

    PPT, PDF, TXT sau citiți online pe Scribd

    Vi se pare util acest document?

    Este necorespunzător acest conținut?

    Raportați acest document
    The exact surgery indicated is determined by the age of the child and the severity of the deformity. Young child with a mild or moderate deformity, the technique of Kumar, cowell, and Ramsey is recommended. Older child with more severe or a recurrent deformity should have open reduction and a Grice extraarticular subtalar fusion. Child 12 years old or older with functional symptoms, a triple arthrodesis is preferred.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca PPT, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    159 vizualizări24 pagini

    Congenital Vertical Talus

    Încărcat de

    Kaizar Ennis
    The exact surgery indicated is determined by the age of the child and the severity of the deformity. Young child with a mild or moderate deformity, the technique of Kumar, cowell, and Ramsey is recommended. Older child with more severe or a recurrent deformity should have open reduction and a Grice extraarticular subtalar fusion. Child 12 years old or older with functional symptoms, a triple arthrodesis is preferred.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca PPT, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 24

    Congenital Vertical Talus

    Dr.E.Kaizar Ennis Dr.Cherian Kovoor EMC,Cochin.

    History
    

    2 yrs /male Brought by parents with deformity Rt foot

    Examination
    

    Rocker-bottom deformity Rt

    Clinical picture

    Radiology Rt

    What we have done


    Technique of Kumar, Cowell, and Ramsey  Three incisions Lateral, Medial, Posterior
    

    Intra-op (Zhikov Maneuver)

    post-op x-rays

    Post-op Protocol
    A/K slab applied  A/K cast given after SR which was continued for 3 months  K-wires removed at 3 months  Wt. bearing started at 3 months
    

    3 months post-op

    One yr post-op

    Cont

    One yr post-op

    Clinical Photos(2 & half yrs)

    Cont

    Cont

    Two & half yrs post-op -Dorsiflexion

    Plantarflexion

    Post-op Assessment
    Deformity Corrected  Mild forefoot Abduction  Dorsiflexion 30 deg  Plantarflexion 0 deg
    

    Treatment Options
     

    Reverse Ponseti tech. The exact surgery indicated is determined by the age of the child and the severity of the deformity.

    Treatment Options cont..


    

    Young child with a mild or moderate deformity, the technique of Kumar, Cowell, and Ramsey is recommended . Older child with a more severe or a recurrent deformity, Coleman et al. recommend open reduction and a Grice extraarticular subtalar fusion . Child 12 years old or older with functional symptoms, a triple arthrodesis is preferred .

    Differential diagnosis
    

    Calcaneovalgus deformity

    Take home message


    

    ALL CASES OF FLAT FOOT R/O CVT

    THANK YOU

    S-ar putea să vă placă și