Akademik Veri Yönetim Sistemi
Duzce Medical Journal, cilt.15, sa.3, ss.1-4, 2013 (Scopus)
Objective: Surgical treatment of pes equinovarus (PEV) is sometimes a necessity for patients that do not respond to conservative treatment. This study aimed to compare the long term functional and radiographic results of Posteriomedial release (PMR) and Complete subtalar release (CSTR) techniques. Materials and Methods: We evaluated 84 feet of 59 (45 boy and 14 girls) patients who underwent surgical treatment (Posteromedial release and subtalar release) for PEV. The mean follow-up period was 94. 7 months (7. 83 years). The functionel assessment was made according toLaaveg-Ponseti functional scoring system and the radiographic evaluation was made by using the anteroposterior talocalocaneal angle, lateral talocalocaneal angle and talus-first metatarsal angle. Bimalleolar angles were measured. Turco incision was used for both techniques. Pearson Chi Square was used for statistical analysis. This study was made by the B. 30, 2ATA. 0. 01. 00/87 numbered permission of ethical committee of Atatürk University. Results: Functional results were excellent in 62. 6% of feet, good in 2. 3% of feet, fair in 22. 3% of feet, and poor in 2. 8% of feet that underwent CSTR. Functional results were excellent in 44. 8% of feet, good in 33. 8% of feet and fair in 21. 4% of feet that underwent PMR. None of the patients were assessed as poor that underwent PMR. There were statistical significant differences between the two surgical procedures with respect to functional scores and complications (p<0, 05). Conclusion: Better functional outcome and less complications are seen in CSTR. Turco incision may be sufficient for lateral subtalar release. © 2013 Düzce Medical Journal.