Diagnosis and treatment of congenital vertical talus in children under 3 years old (review)

Congenital vertical ram is a rare pathology, the incidence of it is 1 case per 10 thousand newborns. This anomaly is usually manifested by a severe planovalgus deformity of the foot. Moreover, it is often (in 50% of cases) associated with chromosomal syndromes (arthrogryposis, neurofibromatosis, myelodysplasia, etc.), with spinal, neuromuscular anomalies of development. As a result, it is necessary to focus the attention of pediatric orthopedists and radiologists on the parameters of the diagnosis in order to reduce false diagnoses and unreasonable surgical interventions in children, show options for surgical techniques for the treatment of feet with an inborn vertical position of the talus in children under 3 years. The presented review of domestic and foreign literature demonstrates the main advantages and disadvantages of existing approaches in the treatment of children under 3 years of age with congenital vertical ram. Demonstrate the main advantages and disadvantages of existing approaches in the treatment of this pathology. Analysis of the literature showed that the causes of the formation of the congenital vertical talus are not fully explored. In Russia, up to the present moment, its diagnosis is still difficult. Congenital vertical talus is one of the rare problems in world orthopedic practice in comparison with congenital clubfoot, but doctors who are constantly treating children with deformities of the feet have such patients regularly.

Surgical Correction of Foot Deformity in Children under 3 Years of Age

Aim. The study aimed to improve the outcomes for surgical correction of talipes equinovarus in children using the Ponseti method, as well as vertical talus correction using the Dobbs method combined with massage, physiotherapy and therapeutic exercise. Material and methods. In the period from 2015 to 2020, 109 children were examined and treated at the Filatov City Children’s Hospital, Moscow. Results. The study has revealed that without timely correction the orthopedic foot pathology in children is often accompanied by pain, functional changes and a high risk of developing disability in a child, which determines a high social significance of this nosology. After a comprehensive assessment and a combination of conservative and surgical correction techniques, the congenital foot deformity in all children was completely eliminated. Conclusion. The Ponseti method is required to be carefully adhered to in order to achieve a complete pes equino-varus correction. Early start of correction of changes is effective.

Treatment of Foot Deformities in Children under 3

Introduction. The choice of treatment options of foot deformity in children is the most acute in the first years of life. In this regard, the need for hospital stay of a child is debatable today. A number of interventions in the treatment of foot pathology can be performed on an outpatient basis.The aim of this study was to improve clinical outcomes of pes equino-varus treatment using the Ponseti procedure, and the Dobbs vertical talus correction combined with massage, physiotherapy and exercise therapy on the outpatient and inpatient basis in pediatric population. Methods. The study included 106 children who were examined and treated at N.F. Filatov Children's City Clinical Hospital in 2015-2020.Results. The study revealed that, if left untreated, the orthopedic pathology of the feet in children is often accompanied by pain, functional changes and a high risk of disability, the fact evidencing high social significance of the studied nosology. In all examined children a congenital deformity of the foot was completely eliminated after a comprehensive assessment and a combination of conservative and surgical correction techniques. Conclusions. Careful adherence to the Ponseti procedure is required to achieve a complete pes equino-varus correction. Early beginning of correction is the most beneficial due to its effectiveness.