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Arthrodesis / Osteotomy

Discussion

  • in older pts (3-10 yo), medial opening or lateral column shortening osteotomies or cubital decancelization is recommended;
  • for children who present w/ refactory clubfoot late (8-10 yo), triple arthrodesis is only procedure possible to elminate assoc pain;
  • triple arthrodesis is contraindicated in patients with insensate feet because it causes a rigid foot that may lead to ulceration;
    • talectomy may be a better procedure in these patients