Modified Ghali technique: a twelve-year-study
Keywords:
DeCS, deformidades congénitas del pie, procedimientos ortopédicosAbstract
Background: among the physical limitations caused by deformities of the feet in the child, the metatarsus varus is the most frequent disease.
Objective: to evaluate the results of the modified Ghali technique in the treatment of the varus metatarsus of the child.
Methods: a quasi-experimental study was performed with two observational moments, before and after the intervention, including 122 patients under the age of 15 who underwent surgery from January 1, 2002 to December 31, 2014 at the Eduardo Agramonte Piña Hospital.
Results: 122 children with 244 feet with congenital metatarsus varus were studied, the leading age was 5 to 9 years old with 68 patients (55,7%), in the comparison of the postoperative modification of the degree of clinical affection and radiographic examination of patients with metatarsal varus congenital in the static, the 122 children were corrected the deformity and in the dynamic a minimum remained with internal deviation when walking. The clinical evaluation was done in an objective and subjective way in the 244 operated feet. The following parameters were taken into account: aesthetic appearance of the foot, gait quality, complications, satisfaction of the result by the parents, radiology by means of the scaphoid metatarsal angle. A good outcome was obtained in the majority of patients, and complications were minimal.
Conclusions: the results of the series were adequate and the follow-up was performed in the long term and should therefore be considered as a therapeutic probability in the treatment of varicella metatarsus varus.
DeCS: FOOT DEFORMITIES, CONGENITAL; ORTHOPEDIC PROCEDURES; METATARSUS VARUS; CHILD; NON-RANDOMIZED CONTROLLED TRIALS AS TOPIC.
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