Naviculectomy for two ambulatory children with intractable congenital vertical talus: redefining the indications of an old technique. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: EL-Sobky, Tamer A.; Samir, Shady; Mahmoud, Shady
• Is Part Of: Journal of pediatric orthopedics. Volume 29:Issue 4(2020)
• Publication Date: 2020-07
• Subjects: arthrogryposis -- congenital convex pes valgus -- congenital vertical talus -- foot -- resection arthroplasty -- salvage naviculectomy -- talonavicular dislocation; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000663
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : Congenital vertical talus is a rare and complex foot anomaly. Serial casting with or without minimally invasive surgery is a universal management strategy especially for children in the first year of life. Nevertheless, extensive surgical treatment of late-presenting, neglected and multiple operated children with congenital vertical talus may be required with guarded results. The results of naviculectomy as a more conservative intervention and directed exclusively at ambulatory children with intractable congenital vertical talus have not been reported. We present the radioclinical outcomes of two ambulatory children with intractable congenital vertical talus treated by naviculectomy/midtarsal resection and limited soft tissue release. One child had an isolated congenital vertical talus whereas the other had a non-isolated etiology. Generally, naviculectomy/midtarsal resection revealed a positive benefit-risk profile in children with intractably severe congenital vertical talus on the short-term. We reported favorable results in terms of foot appearance, function and radiology. We believe that a less invasive procedure like naviculectomy/midtarsal resection is an encouraging technique to investigate in children with intractable congenital vertical talus.