Congenital Flat-Valgus Foot with Vertical Position of Talus in Children and Its Correction

Congenital vertical position of the talus is the main component of congenital flat-valgus foot deformity in children that determines the clinical manifestation of this pathology. The earlier the patient is hospitalized the better correction result is achieved. In spite of the diagnosis simplicity the patients are not timely referred for surgical correction. During the period from 1994 to 2003 eighteen patients, aged from 8 month to 14 years, with congenital flat-valgus foot were operated on (25 surgical intervention) at Russian Pediatric Clinical Hospital (Traumatologic and Ortho­paedic Department). Kumar-Cowell-Ramsey operation was performed in children under 5 years. In children aged 5-12 Coleman operation was used and in children over 12 triarticular arth­rodesis was performed. Long-term results were assessed in 15 patients (22 operations) at terms from 1 to 5 years. Good results were achieved in 68% of cases, satisfactory — in 28% and unsa­tisfactory — in 4% of cases.