Abstract

MARRERO RIVERON, Luis Oscar et al. Treatment of irreducible congenital equinovarus foot using RALCA external minimal fixation. Rev Cubana Ortop Traumatol [online]. 2010, vol.24, n.1, pp. 0-0. ISSN 1561-3100.

INTRODUCTION: Equinovarus foot is one of the more frequent podalic affections at birth. Behavior to follow has been always a complex subject due to the individual characteristics of each deformity thus remained a group of children with irreducible feet and ages in which treatment becomes very difficult. The aim of present paper was to assess the use of RALCA® external fixation in irreducible congenital equinovarus foot. METHODS: An interventional study was conducted in 15 patients (21 feet) aged 4 and 10, seen in "Frank País" International Orthopedic Scientific Complex from January 1, 2007 to December, 31 2008 presenting with irreducible equinovarus foot. All patients received the above mentioned fixation. Authors applied the score for Dimeglio/Bensahel `clinical correction and the Roye score for function-satisfaction. Six radiographic parameters were measured before and after therapeutical procedure. RESULTS: There was a 100% of results for clinical correction, unfavourable function-satisfaction values during the postoperative period, a 61,91% of satisfactory values regards the clinical correction, as well as a 57,14%for function and a61,9% in satisfaction during the postoperative period. Scaphoid position (posteroanterior view) and the astragalus-calcaneus overlapping (posteroanterior view) were the more reliable radiographic parameters regard its relation to the clinical results obtained after treatment. CONCLUSION: These results demonstrate the effectiveness of RALCA® external fixation as principal treatment method always taking into account that the case is a rigid and irreducible foot.

Keywords : Irreducible congenital equinovarus foot; treatment; external fixation; RALCA® external minimal fixation.

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