Distal tibia/fibula fractures following clubfoot casting---report of four cases.
Year: 2009
Type: article
Study design: Case Report
Abstract: The treatment of congenital talipes equinovarus (club-foot) has evolved over the years, but most orthopedists have agreed that the initial treatment should be non-operative, and the preferred methods are manipulation and application of a plaster cast or physiotherapy started soon after birth. These are very gentle techniques, but there are potential complications. The most common are recurrence/persistence of the deformity and skin lesions/pressures sores. Additional less common complications include rockerbottom deformity secondary to spurious correction, and flattening of the talus. However, there is a paucity of literature describing the true incidence of these less observed complications.
The complication of lower extremity fracture associated with clubfoot treatment has recently been observed at our institution. Several different types of fractures can occur including torus fractures of the distal tibial metaphysis, anterior cortical compression fractures of the distal tibia, distal tibial metaphyseal spurs caused by injury and translation of the epiphyseal plate, and lastly distal fibula fractures. The majority of these fractures have been reported to occur during manipulation with application of forced dorsiflexion/eversion of the ankle usually using Kite's technique.8, 9 We present four cases of distal tibia/fibula metaphyseal fractures that occurred during the bracing phase of clubfoot Ponseti treatment.
Source: Europe PMC (PubMed Central)
Authors: Robert Volz, Maria Paulsen, Jose Morcuende
Institution: University of Iowa
Language: English
Topic: Foot and Ankle Surgery
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W1892400866