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Year : 1999  |  Volume : 33  |  Issue : 3  |  Page : 183-185

Resistant And Neglected Clubfoot



Correspondence Address:
Manish Khana


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Source of Support: None, Conflict of Interest: None


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Ninety four clubfeet deformities in sixty three patients of age group from three days to thirteen years were treated in Orthopaedic department in last one and half years. Sixty three clubfeet were treated by repeated manipulation and cast, 9 with posteromedial tissue relase, 7 by triple arthrodesis and 15 by Joshi’s external stabilization system (JESS). Link joints are the basic holding units in the external fixator frame. Each component deformities were sequentially distracted. The fractional distraction was done for 3-6 weeks followed by static phase of 3-4 weeks with post fixator plaster maintenance given for 8-12 weeks. Results were graded as excellent in 8 feet, good in 4 feet and fair in 2 feet. In one case JESS was discontinued on 3rd postoperative day.


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