COMPARATIVE STUDY OF SURGICAL CORRECTION OF CONGENITAL TALIPES EQUINO VARUS DEFORMITY WITH AND WITHOUT INTERNAL FIXATION (USING K–WIRES)

Dr.Archana Babu.P; Dr.Hareesh kumar.K.V

Volume : IX, Issue : XI, November - 2019

COMPARATIVE STUDY OF SURGICAL CORRECTION OF CONGENITAL TALIPES EQUINO VARUS DEFORMITY WITH AND WITHOUT INTERNAL FIXATION (USING K–WIRES)

Dr. Archana Babu. P, Dr. Hareesh Kumar. K. V

Abstract :

Congenital Talipes Equino Varus is one of the most common congenital deformity which occurs in 1/1000 live birth worldwide. Regarding management of this clubfoot ,most orthopaedic surgeons agree that approach management of children with congenital talipes equino varus deformity of foot should begin with conservative measures i.e, manipulation and serial casting in position of correction. One or more surgical procedures are often required in patients who had incomplete correction , recurrent deformity , syndromic correction and after repeated manipulation and casts. Recurrence is a common problem following the club foot surgery one of the reason for recurrence can be redisplacement of tarsal bones .This study aims to compare prospectively the functional and cosmetic outcome of two groups of club foot–one in whom tarsal joint were fixed with k–wires after doing posteromedial soft tissue release and one in whom tarsal joint were not fixed after soft tissue release .To know the incidence of congenital talipes equino varus with respect to age and sex predilection over a period of two years which were admitted between October 2017 to October 2019, 28 idiopathic club foot in 20 children range from 4 months to 3 years were treated out of 20 cases 12 were males,8 were females.8 patients had bilateral deformity out of 12 unilateral deformities 8 were on right side and 4 were on the left side. Male and female ratio 1.5:1 and unilateral to bilateral 1.5 :1.In 12 feet turco’s posteromedial soft tissue release and internal fixation of tarsal joints with k–wires was done in 16 feet only turco’s posteromedial soft tissue release was done. The period of follow up ranges from 6 months to 2 years