Cermin Dunia Kedokteran
Vol 48 No 12 (2021): Penyakit Dalam

Treatment Outcome of Posteromedial Procedure for Neglected Clubfoot in Children Older than 2 Years of Age - Report of 3 Cases

Iman Dwi Winanto (Orthopaedic and Traumatology Department, Haji Adam Malik General Hospital, Medan, Indonesia)



Article Info

Publish Date
01 Dec 2021

Abstract

Background: A neglected clubfoot is a clubfoot that didn’t get early or adequate treatment; it is a significant problem in developing countries. The posteromedial soft tissue release procedure is one of the surgical techniques in clubfoot treatment. Case: Three patients with neglected clubfoot were assessed before and after treatment. All patients were treated with posteromedial soft tissue release method followed by serial application of above-knee plaster of parts for three months. Result: Two cases had a good correction, one case had a fair correction. Conclusion: The posteromedial soft tissue release with proper follow up and splinting results in a cosmetically normal appearance and functionally acceptable pain-free foot in neglected clubfoot in children older than two years of age. Latar Belakang: Neglected clubfoot merupakan clubfoot yang tidak ditatalaksana atau mendapat tata laksana awal tidak adekuat; kondisi ini sering ditemui di negara berkembang. Prosedur posteromedial soft tissue release merupakan salah satu teknik operasi dalam tatala ksana clubfoot. Kasus: Tiga pasien neglected clubfoot ditatalaksana dengan prosedur posteromedial soft tissue release diikuti aplikasi serial plaster of paris di atas lutut selama tiga bulan. Hasil: Dua kasus menunjukkan hasil koreksi baik dan 1 kasus hasil koreksi sedang. Simpulan: Prosedur posteromedial soft tissue release dikombinasi dengan ¬follow up serta teknik splinting yang adekuat memberikan hasil kosmetik yang baik serta kaki bebas nyeri pada kasus neglected clubfoot anak berusia di atas dua tahun

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Journal Info

Abbrev

cdk

Publisher

Subject

Health Professions

Description

Cermin Dunia Kedokteran (CDK) is a Medical Journal published since 1974 and affiliated with PT Kalbe Farma Tbk. CDK is intended to help accommodate scientific publications and help increase and disseminate knowledge related to the development of medical science, pharmacy, and public health. CDK ...