SOFT TISSUE RELEASE WITH OR WITHOUT RELEASE OF THE TALO-CALCANEAL INTEOSSEOUS LIGAMENT IN THE TREATMENT OF CONGENITAL TALIPES EQUINOVARUS

Abstract

Forty five patients with sixty six clubfeet were the subject of this study. All clubfeet were classified randomly into two equal groups in the pre-operative period, each group thirty three clubfeet

In group (A), the feet were treated surgically comprised by complete postero-medial soft tissue release with release of the talo-calcaneal interosscous ligament. In group (B) the feet were surgically treated by complete postero-medial soft tissue release without release of the talo• calcaneal interosseous ligament. All the patients were treated at El-Hadara University Hospital. Alexandria, Egypt. And followed-up for a period ranged from 24 36 months with a mean 25.6 months.

The age at the time of surgery ranged between 3 24 months with a mean 8 months in both groups. There were six clubfeet in female patients and sixty feet in males. The right side was affected in I5 feet, the left in IH and twenty were bilaterally affected.

All the feet were examined both clinically and radiologically. pre•

« operatively as well as regular evaluation every three months post• operatively and at the final follow up. Five months after surgery forty Magnetic Resonance Imaging was done for the operated feet in both studied groups.