A Comparative Analysis of Posteromedial Soft-Tissue Release and Differential Distraction with Joshi’s External Stabilizing System Fixator in Neglected Resistant Congenital Talipes Equinovarus

Vol 34 | Issue 1 | Jan – April 2019 | page: 21-25 | Ashwani Sadana, Karuna Shankar Dinkar, Chandra Prakash Pal, Rajat Kapoor, Yajuvendra Kumar

Authors: Ashwani Sadana [1], Karuna Shankar Dinkar [1], Chandra Prakash Pal [1], Rajat Kapoor [1], Yajuvendra Kumar [1]

Address of Correspondence

Dr. Karuna Shankar Dinkar,
Department of Orthopaedics,
Sarojini Naidu Medical College,
Agra – 282 002, Uttar Pradesh, India.
E-mail: drksdinkar27@yahoo.in


Club foot is among the most common of congenital deformities. Congenital talipes equinovarus is a complex three-dimensional deformity having four components – equinus, varus, adduction, and cavus. The present study was conducted to compare the results of posteromedial soft-tissue release (PMSTR) and Joshi’s external stabilizing system ( JESS)  fixator in neglected, resistant, and relapsed
or recurrent club foot. This a prospective study comprising of 36 children was conducted in the department of orthopedics, S.N. Medical College, Agra. Pre-operative none of the feet in either group had a clinical satisfactory rating, but after surgery, a significant improvement was seen. Of the 25 feet subjected to PMSTR procedure, it was observed that 16 feet (64%) were in the category of the satisfactory rating where all the 9 clinical criteria were in satisfactory range (36%) had an unsatisfactory result. Of the 22 feet subjected to differential distraction method using JESS fixator, it was observed that 19 feet (77.3%) were in the category of satisfactory rating, where all the 9 criteria were in satisfactory range, and the unsatisfactory result was seen in 5 feet (22.7%).
Keywords: Cavus, compare, Pre-operative, Joshi’s external stabilizing system, Feet


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How to Cite this Article: Sadana A, Dinkar K S, Pal C P, Kapoor R, Kumar Y. A Comparative Analysis of Posteromedial So-Tissue Release and Differential Distraction with Joshi’s External Stabilizing System Fixator in Neglected Resistant Congenital Talipes Equinovarus. Journal of Bone and Joint Diseases Jan – Apr 2019;34(1):20-24.

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