Recurrent rigid clubfoot with painful HF varus, FF adductus, instability, and lateral breakdown. скачать в хорошем качестве

Recurrent rigid clubfoot with painful HF varus, FF adductus, instability, and lateral breakdown.

Case of the Week: recurrent rigid clubfoot with painful hindfoot varus, forefoot adductus, instability, and lateral breakdown. My approach: talectomy + lateral column shortening + prophylactic tarsal tunnel release. 📊 Evidence snapshot: Talectomy alone = ~77% “good” outcomes (Agarwal 2021, Wright 2021) Triple arthrodesis = stable, but long-term pain & adjacent joint issues (Richards 2005, Dobbs 2012) Talectomy + column work = less recurrence, more durable plantigrade feet (El-Sayed 2010) Adding tarsal tunnel release reduces risk of nerve compression after shortening/realignment. ⚠️ Here’s the debate: Do you take out the talus, shorten/rebalance the column, and protect the nerve…or default to triple and accept its trade-offs? Drop your approach 👇 — let’s hear the arguments. #FootAndAnkleSurgery #Clubfoot #Podiatry #Orthopedics #SurgicalDecisionMaking