31-185
Técnica de Imhäuser en el pie zambo.Resultados a medio y largo plazo
Modified imhäuser technique for club-foot. Long term results
C. FERNÁNDEZ GUTIÉRREZ, D. NUÑEZ BATALLA. ,|. PENA VÁZQUEZ. S. ANTUÑA ANTUÑA,J. GONZÁLEZ MÉNDEZ, P. LÓPEZ FERNÁNDEZ y J. PAZ JIMÉNEZ Servicio de Cirugía Ortopédica y Traumatología I. Hospital Central de Asturias. Oviedo.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
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Resumen (ES)
We cheked 42 patients with club-feet (60 feet), all of them with follow-up over 5 years.
All the patients received a mixed treatment: orthopaedic (manipulation and plastering) and surgical
(Imhäuser technique modified). We evaluated morphological, functional and radiographic parameters.
In the overall evaluation only one of the cases was considered bad result; 13 (21.6%) fair
results, 6 with valgus flat feet, 3 with pronatus forefoot and 4 with adductus forefoot; 12 (20%)
good results, with a minimal morphologic or functional alterations; 34 (56.6%) were excellents
results. Conclutions: 1) Imhäuser technic had 77% of good or excellent results in this work; 2) the
second and third Imhäuser surgical times can be summarized in only one: the external hemitrasplant
of the tibial anterior tendon, and 3) clinics, morphologics and functional results are better
than radiographics results.
All the patients received a mixed treatment: orthopaedic (manipulation and plastering) and surgical
(Imhäuser technique modified). We evaluated morphological, functional and radiographic parameters.
In the overall evaluation only one of the cases was considered bad result; 13 (21.6%) fair
results, 6 with valgus flat feet, 3 with pronatus forefoot and 4 with adductus forefoot; 12 (20%)
good results, with a minimal morphologic or functional alterations; 34 (56.6%) were excellents
results. Conclutions: 1) Imhäuser technic had 77% of good or excellent results in this work; 2) the
second and third Imhäuser surgical times can be summarized in only one: the external hemitrasplant
of the tibial anterior tendon, and 3) clinics, morphologics and functional results are better
than radiographics results.
Palabras clave (ES):
Imhaüser
PieZambo
Tratamiento
Quirúrgico
Operatorio
Deformidad
Técnica
Resumen (EN)
We cheked 42 patients with club-feet (60 feet), all of them with follow-up over 5 years.
All the patients received a mixed treatment: orthopaedic (manipulation and plastering) and surgical
(Imhäuser technique modified). We evaluated morphological, functional and radiographic parameters.
In the overall evaluation only one of the cases was considered bad result; 13 (21.6%) fair
results, 6 with valgus flat feet, 3 with pronatus forefoot and 4 with adductus forefoot; 12 (20%)
good results, with a minimal morphologic or functional alterations; 34 (56.6%) were excellents
results. Conclutions: 1) Imhäuser technic had 77% of good or excellent results in this work; 2) the
second and third Imhäuser surgical times can be summarized in only one: the external hemitrasplant
of the tibial anterior tendon, and 3) clinics, morphologics and functional results are better
than radiographics results.
All the patients received a mixed treatment: orthopaedic (manipulation and plastering) and surgical
(Imhäuser technique modified). We evaluated morphological, functional and radiographic parameters.
In the overall evaluation only one of the cases was considered bad result; 13 (21.6%) fair
results, 6 with valgus flat feet, 3 with pronatus forefoot and 4 with adductus forefoot; 12 (20%)
good results, with a minimal morphologic or functional alterations; 34 (56.6%) were excellents
results. Conclutions: 1) Imhäuser technic had 77% of good or excellent results in this work; 2) the
second and third Imhäuser surgical times can be summarized in only one: the external hemitrasplant
of the tibial anterior tendon, and 3) clinics, morphologics and functional results are better
than radiographics results.
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