Özkan, Hasan , Öztürk, Hayati Cumhuriyet Üniversitesi - Tıp Fakültesi,Ortopedi ve Travmatoloji Kliniği, Turkey , Bulut, Okay Cumhuriyet Üniversitesi - Tıp Fakültesi,Ortopedi ve Travmatoloji Kliniği, Turkey , Tezeren, S. Gündüz Cumhuriyet Üniversitesi - Tıp Fakültesi,Ortopedi ve Travmatoloji Kliniği, Turkey , Öztemur, Zekeriya Cumhuriyet Üniversitesi - Tıp Fakültesi, Ortopedi ve Travmatoloji Kliniği, Turkey

Evaluation of Turco’s operation in pes equinovarus

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Aim. Eighty-four patients with pes equinovarus (PEV) have undergone Turco operation betweenJanuary 1990-December 2003. Twenty-five patients (39 feet) of them came to control examinationwere reviewed clinically and radiologically to evaluate our operation success and to determine thecauses of failure. Method. This study included 39 feet of 25 patients (15 boys, 10 girls; meanoperation age 20.2 months; range 4 months to 6 years) with PEV. Assessment was made uponGreen-Lloyd Roberts’ strict clinical criteria; including appearance, function and degree of painduring activity. Results. The results were excellent in 8 feet (20%), good in 13 feet (33 %), andpoor in 18 feet (47 %). Excellent and good results were accepted as satisfactory results. Poorresults are accepted as unsatisfactory results. Our complications were subtalar varus in 8 cases(20%), cavus in 5 cases (13%), defective medial longitudinal arc (13%), rocker bottom in 5 cases(13%), navicular subluctation in 5 cases (13%), calcaneocuboid subluctation in 2 cases (5%).Conclusion. We propose that, operation timing proved important in correcting idiopathic PEVdeformities, provided that type details of the technique are strictly adhered to. The results alsosuggest the role of post-operative follow and brace application in order to avoid relapses alongwith the importance of increasing patients’ compliance through family education.

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Pes equino varus , Turco operation

Cumhuriyet Medical Journal

307