Single-stage surgical correction of congenital vertical talus

Forty-one patients (55 feet) with congenital vertical talus (CVT) were revi ewed. Thirty of the feet were associated with neural tube defects, 10 with neuromuscular disorders, five with congenital malformation syndromes, and n one with chromosomal aberrations. Ten of the feet were idiopathic. All were treated with a single-stage surgical correction as described, by using the Cincinnati incision, and performed by the same surgeon. Thirty-two patient s (42 feet) were available for clinical and radiogaphic follow-up averaging 7 years (range, 2-12) from the rime of surgery. Then were no wound complic ations or avascular necrosis of the talus. In 10 fret, subsequent reoperati on was necessary. At final follow-up, results were based on the clinical an d radiographic outcomes and included 31 good and 11 fair. All patients and families were satisfied with the results and appearance of the feet. Then w ere no bony prominences or skin problems. The presence of mild pain was not ed in only three feet. Radiographically, there was a significant improvemen t in the anteroposterior (AP) and lateral talocalcaneal and tale-first meta tarsal angles, and at follow-up, the group averages for each of these angle s were within the normal range. In treating CVT, good clinical and radiogra phic results can be obtained with a low incidence of complications using th is single-stage surgical correction of the hindfoot and midfoot deformities .