PreprintTechnical NoteVersion 1Preserved in Portico This version is not peer-reviewed
Naviculectomy as a Third Way Beyond Minimally Invasive and Extensive Soft Tissue Releases for Ambulatory Children with Complex Congenital Vertical Talus: A Technical Note
Aly, A. S.; Samir, S.; Mahmoud, S.; El-Sobky, T. A. Naviculectomy With Limited Soft-Tissue Releases as a Third Way Beyond Manipulative Treatment and Extensive Soft-Tissue Releases for Ambulatory Children With Complex Congenital Vertical Talus: A Technical Note. Foot & Ankle Specialist, 2022, 193864002110682. https://doi.org/10.1177/19386400211068265.
Aly, A. S.; Samir, S.; Mahmoud, S.; El-Sobky, T. A. Naviculectomy With Limited Soft-Tissue Releases as a Third Way Beyond Manipulative Treatment and Extensive Soft-Tissue Releases for Ambulatory Children With Complex Congenital Vertical Talus: A Technical Note. Foot & Ankle Specialist, 2022, 193864002110682. https://doi.org/10.1177/19386400211068265.
Aly, A. S.; Samir, S.; Mahmoud, S.; El-Sobky, T. A. Naviculectomy With Limited Soft-Tissue Releases as a Third Way Beyond Manipulative Treatment and Extensive Soft-Tissue Releases for Ambulatory Children With Complex Congenital Vertical Talus: A Technical Note. Foot & Ankle Specialist, 2022, 193864002110682. https://doi.org/10.1177/19386400211068265.
Aly, A. S.; Samir, S.; Mahmoud, S.; El-Sobky, T. A. Naviculectomy With Limited Soft-Tissue Releases as a Third Way Beyond Manipulative Treatment and Extensive Soft-Tissue Releases for Ambulatory Children With Complex Congenital Vertical Talus: A Technical Note. Foot & Ankle Specialist, 2022, 193864002110682. https://doi.org/10.1177/19386400211068265.
Abstract
We investigated the radioclinical outcomes of naviculectomy and limited/tailored soft-tissue releases in a short series of ambulatory children with complex/intractable congenital vertical talus subsets namely neglected, multiple operated and recurrent patients. We postulated that this technique will yield satisfactory radioclinical outcomes and minimal complications because it avoids extensive surgical release/trauma that is otherwise classically recommended for complex congenital vertical talus (CVT). The cohort consisted of five -four boys, one girl- complex CVT children with neglected, multiple operated and/or recurrent subsets. Patients were included if manipulative casting techniques were deemed unlikely to produce a plantigrade foot. Patients underwent naviculectomy with variable on-demand limited soft tissue releases. Two patients had bilateral affection and two had a non-idiopathic aetiology. The mean age was 5.2 years (4 to 6.25) and mean follow-up was 2.3 years (1 to 3). We reported satisfactory outcomes as per foot posture, function, overall parent satisfaction including pain and radiography per lateral views of talar-axis-first metatarsal base angle on the short/intermediate term. Whereas manipulative casting is unlikely to yield lasting outcomes in ambulatory children with complex subsets of CVT, extensive surgical soft-tissue releases have unfavourable long-term complications. As a substitute, naviculectomy as a form of resection arthroplasty created a practical and affordable third way between manipulative casting with minimally invasive surgery and the extensive surgical soft tissue releases on the short/intermediate term.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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