Talectomy in patients with recurrent deformity in club foot. A long-term follow-up study
Legaspi, J.; Li, Y.H.; Chow, W.; Leong, J.C.
Journal of Bone and Joint Surgery. British Volume 83(3): 384-387
2001
ISSN/ISBN: 0301-620X PMID: 11341424 Document Number: 527009
We reviewed 24 feet in 15 patients who had undergone talectomy for recurrent equinovarus deformity; 21 were associated with arthrogryposis multiplex congenita, two with myelomeningocele and one with idiopathic congenital talipes equinovarus. The mean follow-up was 20 years. Good results were achieved in eight feet (33%) in which further surgery was not needed and walking was painless; a fair result was obtained in ten feet (42%) in which further surgery for recurrence of a hindfoot deformity had been necessary but walking was painless; the remaining six feet (25%) were poor, with pain on walking. All patients wore normal shoes and could walk independently, except one who was wheelchair-bound because of other joint problems. Recurrent deformity, the development of tibiocalcaneal arthritis and spontaneous fusion of the tibia to the calcaneum were all seen in these patients.