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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2009 / Cilt: 20 - Sayı: 1

Comparison of the mid-term results of complete subtalar release by the Cincinnati and the posteromedial incisions in clubfoot

Doğuştan çarpık ayaklı olgularda Cincinnati ve posteromedial insizyonlar ile gerçekleştirilen tam subtalar gevşetmenin orta dönem sonuçlarının karşılaştırılması

Erhan YILMAZ
Tahir VAROL
Erhan SERİN
Lokman KARAKURT
Oktay BELHAN
Pages
32–40
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The cast was bivalved and opened due to soft tissue swelling at the early postoperative period in 21 feet (77.8%) in group 1 and only in one foot (7.6%) in group 2 (p

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Objective & Hypothesis:Objectives: Clinical and radiological results of complete subtalar release operations on idiopathic congenital clubfoot patients were compared for the Cincinati and the posteomedial incisions.Patients and methods: Twenty-six patients (40 feet) that underwent complete subtalar release using the Cincinnati incision (group 1; 18 patients, 27 feet [12 boys, 6 girls; mean age 7.4±3.8 month; range 5-24 months]) and posteromedial incision (group 2; 8 patients, 13 feet [6 boys, 2 girls; mean age 10.1±4.3 month; range 4-16 months]) for idiopathic congenital clubfoot with at least one year followup were assessed.
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Key Findings & Data:Tarsal bone problems, intraoperative and postoperative complications were analyzed separately.Results: According to the Simon’s criteria, the clinical results were successful in 27 feet (100%) in group 1 and in 11 feet (85%) in group 2 (p>0.05).
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Conclusion & Impact:The cast was bivalved and opened due to soft tissue swelling at the early postoperative period in 21 feet (77.8%) in group 1 and only in one foot (7.6%) in group 2 (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Clinical and radiological results of complete subtalar release operations on idiopathic congenital clubfoot patients were compared for the Cincinati and the posteomedial incisions.Patients and methods: Twenty-six patients (40 feet) that underwent complete subtalar release using the Cincinnati incision (group 1; 18 patients, 27 feet [12 boys, 6 girls; mean age 7.4±3.8 month; range 5-24 months]) and posteromedial incision (group 2; 8 patients, 13 feet [6 boys, 2 girls; mean age 10.1±4.3 month; range 4-16 months]) for idiopathic congenital clubfoot with at least one year followup were assessed. Tarsal bone problems, intraoperative and postoperative complications were analyzed separately.Results: According to the Simon’s criteria, the clinical results were successful in 27 feet (100%) in group 1 and in 11 feet (85%) in group 2 (p>0.05). Radiological results were successful in 16 feet (59%) in group 1 and in two feet (15%) in group 2 (p0.05). The cast was bivalved and opened due to soft tissue swelling at the early postoperative period in 21 feet (77.8%) in group 1 and only in one foot (7.6%) in group 2 (p

Özet

Amaç: İdyopatik doğuştan çarpık ayaklı hastalarda iki farklı insizyon ile gerçekleştirdiğimiz tam subtalar gevşetme ameliyatlarının klinik ve radyolojik sonuçları karşılaştırıldı.Hastalar ve yöntemler: Cincinnati (grup 1, 18 hasta, 27 ayak [12 erkek, 6 kız; ort. yaş 7.4±3.8 ay; dağılım 5-24 ay]) ve posteromedial (grup 2, 8 hasta, 13 ayak [6 erkek, 2 kız; ort. yaş 10.1±4.3 ay; dağılım 4-16 ay]) insizyonlarıyla tam subtalar gevşetme ameliyatı uyguladığımız ve takip süresi en az bir yıl olan 26 hastanın (40 ayak) klinik ve radyolojik sonuçları Simons kriterlerine göre değerlendirildi. Tarsal kemik patolojileri, ameliyat sırası ve sonrası komplikasyonlar ayrıca değerlendirildi.Bulgular: Simons’un kriterlerine göre klinik olarak grup 1’de 27 ayakta (%100) başarılı, grup 2’de 11 ayakta (%85) başarılı, iki ayakta (%15) başarısız (p>0.05); radyolojik olarak grup 1’de 16 ayakta (%59) başarılı, 11 ayakta (%41) başarısız, grup 2’de iki ayakta (%15) başarılı, 11 ayakta (%85) başarısız sonuçlar alındı (p0.05). Gelişen ödem nedeniyle grup 1’de 21 ayakta (%77.8), grup 2’de ise yalnızca bir ayakta (%7.6) ameliyat sonrası 1. gün alçı bivalv şeklinde açıldı (p

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Cite This Article

YILMAZ, E., VAROL, T., SERİN, E., KARAKURT, L., BELHAN, O. (2022). Comparison of the mid-term results of complete subtalar release by the Cincinnati and the posteromedial incisions in clubfoot. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 20 - Sayı: 1, 32–40. https://ajindex.com/articles/498757

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