@article{Saeed_Mustsfa_2013, title={The early results of surgical treatment of congenital clubfoot by a modified soft tissue release}, volume={17}, url={https://zjms.hmu.edu.krd/index.php/zjms/article/view/371}, DOI={10.15218/zjms.2013.0051}, abstractNote={<p style="text-align: justify; text-justify: inter-ideograph;"><strong style="font-size: 12pt;"><span style="font-family: Arial;">Background and objective: </span></strong><span style="font-family: Arial; font-size: 12pt;">Talipes Equinovarus (TEV) or Congenital Clubfoot is the most common congenital anomaly of the foot. The incidence of TEV is 1-2 per 1000 life births, about 30% of these cases is bilateral with a higher incidence in males than in females (2:1). Congenital Clubfoot is a complex deformity which has four components: Heel in equinus, hind foot in varus, mid foot in cavus, forefoot in adduction and supination. </span><span style="font-family: Arial; font-size: 12pt;">The presented study aimed to evaluate the surgical treatment outcome of congenital club foot by a modified soft tissue release </span><span style="font-family: Arial; font-size: 12pt;">(i.e. division of tendons of tibialis posterior and flexor hallucis longus)</span><span style="font-family: Arial; font-size: 12pt;">.</span></p> <p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: Arial; font-size: 12pt;">Methods:</span></strong> <span style="font-family: Arial; font-size: 12pt;">This is a prospective study done on the Result of treatment of congenital Clubfoot by soft tissue release. Numbers of patients are thirty three patients, forty eight feet, fifteen patients (45.46%) had bilateral, and eighteen patients (54.55%) had unilateral deformities. Twenty one patients (63.64) were male and twelve patients (36.37) were female, male to female ratio was 1.75:1, their ages range between 4-35 months (mean ages in months = 15.43 months). The patients whom included in this study had no previous treatment because of delay in presentation.</span></p> <p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: Arial; font-size: 12pt;">Results:</span></strong><span style="font-family: Arial; font-size: 12pt;"> All patients were assessed clinically and radiologically.</span> <span style="font-family: Arial; font-size: 12pt;">The result of our study was as follow: Excellent result for 28 feet (58.3%), Good result for 16 feet (33.3%), Poor result for 4 feet (8.3%). </span><span style="font-family: Arial; font-size: 12pt;">The over all result can be sub divided to two categories; a) satisfactory which involve both the excellent result and the good result (91.67%) and b) unsatisfactory result which involve only the poor result (8.33%). </span></p> <p style="text-align: justify; text-justify: inter-ideograph;"><strong><span style="font-family: Arial; font-size: 12pt;">Conclusion: </span></strong><span style="font-family: Arial; font-size: 12pt;">The study revealed that the use of this surgical method is of good result and lower rate of complication.</span></p>}, number={3}, journal={Zanco Journal of Medical Sciences (Zanco J Med Sci)}, author={Saeed, Omar Ameen and Mustsfa, Mustafa Adnan}, year={2013}, month={Dec.}, pages={577–581} }