Pied varus équin de l’adulte traité par arthrodèse tibiocalcanéenne: à propos de deux cas (3 pieds)

  • Mohamed Mahmoud El Hacen
  • Yacoub Mohamed Sghair
  • Noura Biha
  • Abdoulay Aw
  • Moez Trigui
  • Chekh Né
Keywords: Talipes equinovarus, adult, tibiocalcaneal arthrodesis

Abstract

Inveterate clubfoot (inveterate talipes equinovarus, ITEV) is a vicious attitude of the foot which doesn’t rest on the floor through its normal base of support but weight is thrown to the outer side of the foot and to the foot point. When this vicious attitude persists a long time, it results in severe osteoarticular deformities in adults. Fixed ITEV is a good indication for tibiocalcaneal arthrodesis. In the majority of cases this provides painless and stable plantigrade foot. This study aims to assess the clinical and radiological outcomes of astragalectomy with tibiocalcaneal fusion. This case series involves 2 adult patients undergoing tibiocalcaneal arthrodesis due to  severe and annoying equinovarus rearfoot deformity. Outcome was satisfactory with painless and stable plantigrade foot. At 90-day follow-up the patient with bilateral clubfoot had no inequality while the patient with unilateral clubfoot had a shortening of 2 cm compensated by right sole. In the majority of cases with severe and fixed deformities of the ankle and of the ITEV, tibiocalcaneal arthrodesis allows for painless and stable plantigrade foot, without vascular or cutaneous risk.

Keywords: Talipes equinovarus, adult, tibiocalcaneal arthrodesis

Author Biographies

Mohamed Mahmoud El Hacen
Orthopedic Department, Nouakchott Military Hospital, Faculty of Medicine of Nouakchott, Mauritania
Yacoub Mohamed Sghair
Pediatric Surgery, CHME-Nouakchott, Faculty of Medicine of Nouakchott, Mauritania
Noura Biha
Rheumatology Department, Nouakchott Military Hospital, Faculty of Medicine of Nouakchott, Mauritania
Abdoulay Aw
CTGB-CHN, Nouakchott, Mauritania
Moez Trigui
CHU-Habib Bourguiba de Sfax, Faculty of Medicine of Sfax-Tunisia
Chekh Né
CTGB-CHN/Faculty of Medicine of Nouakchott, Mauritania
Published
2019-02-18
Section
Articles

Journal Identifiers


eISSN: 1937-8688