eMedicine Specialties > Orthopedic Surgery > Pediatrics

Congenital Vertical Talus: Follow-up

Author: Jeffrey D Thomson, MD, Assistant Professor, Department of Orthopedic Surgery, University of Connecticut; Director of Orthopedic Surgery, Department of Pediatric Orthopedic Surgery, Connecticut Children's Medical Center
Contributor Information and Disclosures

Updated: Mar 20, 2007

Outcome and Prognosis

In general, the outcome and prognosis are good. Some minor calf atrophy and foot size asymmetry occur and are more noticeable in unilateral cases. Ankle range of motion is about 75% of normal.

If AVN of the talus occurs, the results are less optimal because of ankle pain, stiffness, and weakness.

Future and Controversies

It is hoped that in the future, the amount of dissection can be minimized, reducing the incidence of AVN and, in turn, improving the overall outcome. Early diagnosis to allow for surgical correction in infants younger than 2 years also should help to improve results.

Controversy exists over the choice of surgical approaches. However, the author believes that the choice of structures to be released is a more important factor in determining outcomes than is the choice of incisions to be used. Special attention must be paid to the dorsal and dorsolateral contracted tissues. Controversy also exists over the need for an anterior tibialis tendon transfer.

 


More on Congenital Vertical Talus

Overview: Congenital Vertical Talus
Workup: Congenital Vertical Talus
Treatment: Congenital Vertical Talus
Follow-up: Congenital Vertical Talus
References
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References

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Further Reading

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Keywords

CVT, congenital convex pes valgus, congenital rigid rocker-bottom foot, flatfoot, Persian slipper, dislocated navicular, oblique talus

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Contributor Information and Disclosures

Author

Jeffrey D Thomson, MD, Assistant Professor, Department of Orthopedic Surgery, University of Connecticut; Director of Orthopedic Surgery, Department of Pediatric Orthopedic Surgery, Connecticut Children's Medical Center
Jeffrey D Thomson, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Mininder S Kocher, MD, MPH, Associate Professor of Orthopedic Surgery, Harvard Medical School/Harvard School of Public Health; Associate Director, Division of Sports Medicine, Department of Orthopedic Surgery, Children's Hospital Boston
Mininder S Kocher, MD, MPH is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association for the History of Medicine, American Medical Association, American Orthopaedic Society for Sports Medicine, and Massachusetts Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

George H Thompson, MD, Professor of Orthopedic Surgery and Pediatrics, Department of Pediatric Orthopedic Surgery, Case Western Reserve University; Director, Rainbow Babies and Children's Hospital
George H Thompson, MD is a member of the following medical societies: American Academy for Cerebral Palsy and Developmental Medicine, American Academy of Orthopaedic Surgeons, American Academy of Pediatrics, and Ohio State Medical Association
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Dennis P Grogan, MD, Clinical Professor, Department of Orthopedic Surgery, University of South Florida College of Medicine; Chief of Staff, Department of Orthopedic Surgery, Shriners Hospital for Children of Tampa
Dennis P Grogan, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Medical Association, American Orthopaedic Association, American Orthopaedic Foot and Ankle Society, Eastern Orthopaedic Association, Irish American Orthopaedic Society, Pediatric Orthopaedic Society of North America, and Scoliosis Research Society
Disclosure: Nothing to disclose.

 
 
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