Navigation Links
Foot Deformity Could Be Corrected With Minimal Surgery

A treatment developed by a pediatric orthopedic surgeon has shown early success in correcting the foot deformity in children. The treatment for rigid flatfoot//, which once required extensive surgery, can now be corrected with minimal surgery.

Congenital vertical talus (CVT), or "rocker-bottom flat foot," occurs in about 1 in 10,000 live births. Left untreated, the patient would walk on the inside of the ankle rather than the bottom of the foot, resulting in pain and disability. CVT afflicts both healthy children and those with genetic birth defects and neuromuscular disorders.

Matthew B. Dobbs, M.D., who performs surgeries at St. Louis Children's Hospital, developed a treatment for CVT that involves gently manipulating the foot and applying long leg casts weekly for four to six weeks to gradually correct the deformity. After the casting period, Dobbs and his colleagues take an X-ray to determine the success of the correction.

"Much of the correction is achieved with casting alone," says Dobbs, associate professor of orthopaedic surgery at the School of Medicine. "In the cases where we are not able to reach full correction with casting, we reach the rest of the correction with a minimally invasive surgery. This type of surgery is very small compared to the extensive release surgery that has been done in the past."

In the minor surgical procedure, Dobbs inserts a small pin into a joint in the foot where it meets the ankle to hold the correct position for about two months. After the casting treatments or the surgical pinning, CVT patients wear a nighttime brace for several years to prevent recurrence.

Details about the treatment in 11 patients with CVT, or a total of 19 feet, are discussed in the March 2007 issue of The Journal of Bone and Joint Surgery.

His method has caught the attention of pediatric orthopaedic surgeons worldwide, and he is training other surgeons in the United States and inte rnationally to use the method successfully.

The difference between Dobbs' method and casting techniques tried in the past is in the way forces are applied to the foot and the way the casts are molded, he says.

"What has previously been lacking in any cast treatments for CVT is a lack of understanding by orthopaedists as to how the joints in the foot move and work together," Dobbs says. "Now, thanks to the work of Ignacio Ponseti, we do have a better understanding of the mechanics of the foot and ankle which has made it possible to figure out how best to gradually correct the deformity in CVT."

The treatment is based on principles developed in the 1950s for clubfoot, another congenital foot deformity. Ignacio Ponseti, M.D., professor emeritus of orthopaedics and rehabilitation at the University of Iowa, pioneered a method that called for weekly casting and manipulation of the foot starting soon after birth. When done correctly, the Ponseti method has greatly reduced the need for extensive surgery, and as a result, has improved the long-term outcomes for clubfoot patients. Extensive surgical releases for clubfoot can result in feet that are painful and arthritic in adulthood, which is something that is not often seen in clubfoot patients treated successfully with the Ponseti method.

"Our ultimate goal is that our new minimally invasive treatment for CVT will result in better long-term outcomes for patients just as the Ponseti method has done for clubfoot," Dobbs says.


Related medicine news :

1. Shanghai Doctors Clueless About Babys Deformity
2. Children of Bhopal Gas Victims Suffer from Deformity
3. Lean Protein Could Be Key to Obesity Drugs
4. Nasal Spray Could Take Drugs Direct to Brain.
5. Nasal Spray Could Take Drugs Directly to Brain
6. Oxygen Usage During Exercise Could Indicate Heart Problems
7. Ultrasound Screening Could Improve The Outcome Of Critically ill Patients
8. Anger Could Be Linked To Weight Gain
9. A Seizure Late In Life Could be A Stroke Warning
10. New Findings Could Reduce The Extent Of Spinal Cord Injuries
11. Could There Be A Link Between Famine and Breast Cancer ?
Post Your Comments:

(Date:11/25/2015)... ... November 25, 2015 , ... “While riding the bus, I ... Bronx, N.Y. “I thought there had to be a convenient and comfortable way to ... The PROTECTOR enables disabled individuals to safely travel during cold or inclement weather. In ...
(Date:11/25/2015)... , ... November 25, 2015 , ... ... (PHA) announces the nation’s Periwinkle Pioneers, individuals and groups responsible for advancing care ... disease. The Periwinkle Pioneers, nominated by the public, will receive special recognition throughout ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... philanthropic seniors, is resulting in a way for homeless people to have a ... have launched a new initiative whereby they are repurposing plastic bags into sleeping ...
(Date:11/25/2015)... ... November 25, 2015 , ... Since its launch in 2012, ... adult stem cell therapies to patients with chronic degenerative medical conditions. Now, the ... Registered Trademark (RTM). , Organizations are required to hold a registered trademark in ...
(Date:11/24/2015)... ... November 25, 2015 , ... Genesis Chiropractic Software ... software creates an agreement between the practice owner and the patient that automatically ... notification, and projections. Click here to learn more. , ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... FRANCISCO , Nov. 24, 2015  Thanks to ... Dignity Health St. Mary,s Medical Center,s Sister Diane Grassilli ... breast imaging capabilities in San Francisco ... an anonymous friend, stepped forward with a gift of ... for Breast Digital Mammography with Tomosynthesis and Whole Breast ...
(Date:11/24/2015)... Colo. , Nov. 24, 2015  Array ... that its Chief Executive Officer, Ron Squarer ... Healthcare Conference in New York.  The public is ... webcast on the Array BioPharma website.Event:Piper Jaffray Annual ... , Wednesday, December 2, 2015Time:1:30 p.m. Eastern Time ...
(Date:11/24/2015)... HOUSTON, TX and VANCOUVER, Nov. 24, 2015 /PRNewswire/ ... EPI; NASDAQ: EPIX ) announced today that the ... clinical study of EPI-506 as a treatment for metastatic ... States and Canada.  --> ... --> In the Phase 1/2 clinical trial, ...
Breaking Medicine Technology: