Foot Deformities in Arthrogryposis Multiplex Congenita

Foot deformities are common in arthrogryposis multiplex congenita. In this group of 52 patients with this diagnosis, 43 had foot deformities. The involvement was bilateral in all cases, and the most common type of deformity was talipes equinovarus (72 feet). The primary treatment in 52 of these pati...

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Veröffentlicht in:Journal of pediatric orthopaedics 1994-11, Vol.14 (6), p.768-772
Hauptverfasser: Södergård, Jerker, Ryöppy, Soini
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container_title Journal of pediatric orthopaedics
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Ryöppy, Soini
description Foot deformities are common in arthrogryposis multiplex congenita. In this group of 52 patients with this diagnosis, 43 had foot deformities. The involvement was bilateral in all cases, and the most common type of deformity was talipes equinovarus (72 feet). The primary treatment in 52 of these patients was operative. Brockmannʼs procedure was the preferred method during the earlier years and posteromedial or posteromedioplantar release since 1974. Recurrences of the deformity are common; 36 operative procedures were done in 15 feet for recurrence of talipes equinovarus. The primary operative treatment should be extensive enough to correct all components of the deformity. Knee and hip deformity will often influence the outcome. Knee deformities especially cause problems in retaining the desired position of the feet. Talectomy and bone decancellations both seem to be effective in treating recurrences.
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In this group of 52 patients with this diagnosis, 43 had foot deformities. The involvement was bilateral in all cases, and the most common type of deformity was talipes equinovarus (72 feet). The primary treatment in 52 of these patients was operative. Brockmannʼs procedure was the preferred method during the earlier years and posteromedial or posteromedioplantar release since 1974. Recurrences of the deformity are common; 36 operative procedures were done in 15 feet for recurrence of talipes equinovarus. The primary operative treatment should be extensive enough to correct all components of the deformity. Knee and hip deformity will often influence the outcome. Knee deformities especially cause problems in retaining the desired position of the feet. Talectomy and bone decancellations both seem to be effective in treating recurrences.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arthrogryposis - complications</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clubfoot - complications</subject><subject>Clubfoot - diagnostic imaging</subject><subject>Clubfoot - surgery</subject><subject>Diseases of striated muscles. Neuromuscular diseases</subject><subject>Female</subject><subject>Foot Deformities, Congenital - complications</subject><subject>Foot Deformities, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Radiography</subject><subject>Recurrence</subject><subject>Reoperation</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1PwzAMhiMEgvHxE5B6QNwKcZI28RENBkggLnCO0pCyQNaMpBXw7yls7MbJh_exLT8mpAB6BhTlOQUmgKMqAVGAoDUtKaVQbZEJVBxLVkm6TSaUSShriWqP7Of8OhKSC75LdqUCUSGbkHoWY19cujamhe-9y4XviovUz1N8SV_LmH0u7ofQ-2Vwn8U0di-u8705JDutCdkdresBeZpdPU5vyruH69vpxV1puRJVybABzo2UljVWMtUKg7WSthl3N9TW1mEjUTpmOUNRK3AI9BkUouXSsJYfkNPV3GWK74PLvV74bF0IpnNxyFrWyMeD5QiqFWhTzDm5Vi-TX5j0pYHqH2X6T5neKNO_ysbW4_WOoVm4503j2tGYn6xzk60JbTKd9XmDcQ4U8GeMWGEfMfQu5bcwfLik586Efq7_exj_BlRRgeg</recordid><startdate>199411</startdate><enddate>199411</enddate><creator>Södergård, Jerker</creator><creator>Ryöppy, Soini</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199411</creationdate><title>Foot Deformities in Arthrogryposis Multiplex Congenita</title><author>Södergård, Jerker ; Ryöppy, Soini</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3845-29b133a77c2bc728f4a9687cb592b0c6ce9b797e2c3294681e910d1899c37a2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arthrogryposis - complications</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clubfoot - complications</topic><topic>Clubfoot - diagnostic imaging</topic><topic>Clubfoot - surgery</topic><topic>Diseases of striated muscles. 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subjects Adolescent
Adult
Arthrogryposis - complications
Biological and medical sciences
Child
Child, Preschool
Clubfoot - complications
Clubfoot - diagnostic imaging
Clubfoot - surgery
Diseases of striated muscles. Neuromuscular diseases
Female
Foot Deformities, Congenital - complications
Foot Deformities, Congenital - surgery
Humans
Infant
Infant, Newborn
Male
Medical sciences
Neurology
Radiography
Recurrence
Reoperation
title Foot Deformities in Arthrogryposis Multiplex Congenita
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