Early clinical and radiological results of surgical treatments for pes equinovarus patients

Background: To evaluate the early clinical and radiological results of soft tissue surgeries in patients with resistant and neglected idiopathic pes equinovarus. Methods: In this study, between June 2014 and August 2018, who presented with congenital club foot aged between 9-87 months (33 males, 10 females; mean age: 31.5 months) were performed soft tissue surgeries in 56 feet of 43 patients viewed retrospectively. Follow-up was 12-36 months. (mean; 20,2 months). According to the physical examination findings and radiological examinations of the patients, Pirani scores and radiological measurements were compared with the last visits after the 3rd month after the operation. Results: Compared to preoperative measurements with Pirani scores after 3 months, patients with more than 4 decreases were very good (11 feet, 19,6%), and the reduction of 3-4 was good (27 feet, 48,2%). Less than 3 decrease was poor (18 foot, 32,2%). Significant improvement was detected in the clinical evaluation (Pirani score) (p？0,001). Significant improvement was detected in radiological examinations (p？0,001). 16 patients (28,5%) developed various types of wound healing problems and skin necrosis. 7 metatarsus adductus, 3 patients with equinus varus deformity and 2 patients with forefoot supination and 1 wire out were observed. Conclusion: The soft tissue surgeries performed in the resistant and neglected IPEV patients were found satisfactory in terms of early clinical and radiological results