Surgical treatment of congenital clubfoot with constriction band syndrome
Synder, M.; Niedzielski, K.; Grzegorzewski, A.
Chirurgia Narzadow Ruchu i Ortopedia Polska 65(6): 591-594
2000
ISSN/ISBN: 0009-479X PMID: 11388007 Document Number: 521423
Twelve feet in 11 patients with constriction band syndrome age ranging from 3 to 18 months (mean age 11 months) were evaluated in this study. The constriction band was located at the in the calf, at distal, media and proximal third levels. All these patients were treated surgically by a wide peritalar release using the Cincinnati incision, followed by a two-stage Z-skin plasty. Both clinical and radiological results were evaluated. In our material an excellent result was achieved in 1 case, good results in 3 cases, satisfactory in 4 cases and poor in the remaining four cases. Very good and good results were achieved in feet with shallow bands type II and III, while poor results were found in feet with deep constriction band type I. Early surgical treatment followed by serial casting leads to better functional results.