Pediatric Foot - ECAB

Author: Khan> Shah Alam  

Publisher: Elsevier Health Sciences APAC‎

Publication year: 2009

E-ISBN: 9788131232507

P-ISBN(Paperback): 9788131221709

Subject: R726.8 pediatric orthopedics

Keyword: 外科学

Language: ENG

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Description

Pediatric foot details important and relevant topics in Pediatric foot. The book is meant to supplement, not replace available texts in Pediatric Orthopedics. The book is unique in dealing with many controversial subjects in pediatric foot. Topics like pes cavus, flat foot and surgery in clubfoot are known to stimulate a lot of debate and discourse. The ECAB on Pediatric Foot has been conceived keeping in mind the needs of Orthopedic surgeons in practice, orthopedic residents in training and Orthopedic surgeons dedicated to the practice of Pediatric orthopedics as a specialty. It would serve as a useful text for orthopedic residents appearing for their specialty board examinations like the MS Orthopedic Surgery, FRCS Trauma & Orthopedics and DNB Orthopedic Surgery.

Chapter

RESOLUTION OF CONFLICT OF INTEREST

CONTENT DEVELOPMENT COMMITTEE

ENQUIRIES

Preface

Development of the Foot

Development of Joints

Classification

Flat Foot

Classification

Classification Based on Patho-anatomy

Classification Based on Footprint Analysis

Flexible Flatfoot

Objective Definition

Pathogenesis

Intrinsic Factors

Miscellaneous Factors

Extrinsic Factors

Epidemiology

Clinical Features

Examination

Radiographic Features

Natural History

Treatment Protocol (Based on Age)9

Conservative Treatment

Operative Treatment

Medial Procedures

Millar Flatfoot Procedure9,15

Modified Hoke-Millar Procedure (Duncan and Lowell)9

Durham Flatfoot Plasty9

Calcaneal Procedures

Arthroereisis

Triple Arthrodesis

Patho-anatomy of Clubfoot

Patho-Anatomy

Osseous Changes

Soft Tissue Changes

Conservative Treatment of Clubfoot

Introduction

With the Ponseti method, it is possible to get close to normal results in the treatment of clubfoot.

Modern treatment

Ponseti technique16,21

First Stage Cast

Second to Fourth Stage Casts

Casting technique16,21

Application of the Cast

Moulding of the Cast

Cast Removal

Bracing21

Relapses after Ponseti Regimen

The functional method or the french technique

Manipulation29,35

Taping and the Use of CPM Machine

Conclusion

Case 1

Case 2

Surgery in Clubfoot

Operative Treatment

Indications for Surgery

Decision Making for Surgery

Evaluation for Surgery

Timing of Surgery

Soft-Tissue Release

Posteromedial Release

Circumferential Release

Wound Closure and Immobilization

"À La Carte" Approach

Revision and Secondary Procedures

Pre-Operative Assessment

Treatment of Residual Deformity

Dynamic Forefoot Supination

Residual Cavus

Residual Varus or Valgus Angulation of the Heel

Valgus Overcorrection

Dorsal Bunion

Skin Problems

Neglected Clubfoot

Patho-anatomy

Patterns of deformity

Non-operative treatment

General considerations

Approach to surgical treatment of the neglected clubfoot

Soft Tissue Release

Tibialis Anterior Transfer

Residual Equinus

Calcaneal Varus

Forefoot Supination

Triple Arthrodesis

Talectomy

Distraction histogenesis

Ilizarov Technique

Operative Procedure

Joshi's External Stabilization System

Postoperative Management

Pes Cavus

Evaluation of A Child with Pes Cavus

History

Clinical Examination

Radiography

Other Tests

Treatment

Conservative Treatment

Surgical Treatment

Congenital Vertical Talus

Epidemiology

Pathological Anatomy

Bone and Joint Changes

Muscle and Ligament Abnormalities

Clinical Features

Radiographic Findings

Treatment

Conservative Treatment

Surgical Treatment

Tarsal Coalitions

Etiology and Pathogenesis

Clinical Features

Imaging

Plain X-rays: AP, Lateral, Oblique and Harris' Views

CT Scan of the Hind Foot

Jayakumar's CT Classification of Tarsal Coalitions

Magnetic Resonance Imaging

Bone Scan

Treatment

Calcaneonavicular Resection

Medial Talocalcaneal Coalition

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