SLR - December 2014 - Cliff Burmeister

Percutaneous Correction of Persistent Severe Metatarsus Adductus in Children

Reference: Knorr J, Soldado F, Pham TT, Torres A, Cahuzac JP, de Gauzy JS. Percutaneous Correction of Persistent Severe Metatarsus Adductus in Children. J Pediatr Orthop. 2014 Jun; 34(4):447-52.

Scientific Literature Review

Reviewed By: Cliff Burmeister, DPM
Residency Program: Bethesda Health Inc.

Podiatric Relevance: This article describes a minimally invasive, reproducible, effective technique for treating persistent, severe metatarsus adductus in the pediatric patient.

Methods: This article evaluated 34 consecutive feet with severe, rigid metatarsus adductus from 26 children undergoing percutaneous correction. Mean age of surgery was 5.7 years. Mean follow up     55.2 months. Surgical time and hospitalization time were recorded. The technique in question is also known as the Cahuzac procedure with a percutaneous approach.

Results: Radiographic parameters were normalized when compared with the control feet. The mean surgical time and hospital time was 14 minutes and six hours respectfully. Mean AOFAS score improved from 78 to 98.

Conclusions: A minimally invasive percutaneous technique allowed for successful correction of metatarsus adductus deformity in children and resulted in a substantial decrease in both surgical and hospitalization time and better cosmetic results.

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