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Orthopaedic Proceedings
Vol. 96-B, Issue SUPP_13 | Pages 28 - 28
1 Sep 2014
Botha A Du Toit J
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Purpose of study

The primary treatment of congenital talipes equinus varus with the Ponsetti method remains the gold standard of treatment. Relapsed, neglected and/or teratogenic clubfeet pose a significant treatment challenge as the long term outcome of posteromedial release surgery is poor. Advances in circular fixation offer predictable deformity correction without the need for extensive soft tissue release. The Taylor Spatial Frame utilizes the correction principles of the “Ponsetti Method”, but little literature exists describing the correction of relapsed clubfeet with these fixators. This study assesses the outcome of relapsed clubfeet treated with the Taylor Spatial Frame Circular fixator.

Methods

Ethics approval was obtained for a prospective descriptive study (N10-10-338). Patients with clubfeet who met inclusion criteria were treated with a Taylor Spatial Frame. The International Clubfoot Study Group Score was used to assess the feet preoperatively and six months postoperative. This scoring system scores the morphology, functionality and radiographic parameters of the clubfoot. Quality of life was assessed by means of the Child Health Questionnaire.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_14 | Pages 62 - 62
1 Mar 2013
Botha A Dunn R
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Objectives

To demonstrate that instrumented fusion of the paediatric cervical spine is possible and can be performed safely.

Study Design

A retrospective review of paediatric patients who had instrumented fusion of the cervical spine.