Selective botulinum toxin injection in the treatment of recurrent deformity following surgical correction of club foot
Authors: Piers Mitchell; Martin Tisdall; Hamid Zadeh
Source: Acta Orthopaedica Scandinavica, Volume 75, Number 5, October 2004 , pp. 630-633(4)
Publisher: Taylor and Francis Ltd
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Abstract:
Management of a child with club foot deformity that recurs after an apparently successful posteromedial soft tissue release remains a challenge. Revision surgery is often attempted, but this carries a high risk of significant scarring or neurovascular complications. We have treated 3 children (3 feet) with relapsed club foot and fixed deformities, using Botulinum toxin A (BTX-A) injection into muscle groups clinically thought to be responsible for recurrent deformity, followed by moulded plaster casts. Two cases have maintained a good foot position with an minimum follow-up of 18 months, and one other is also doing well having had a tibialis anterior tendon transfer as well as the BTX-A therapy. In our limited experience, targeted BTX-A injection with plaster casting has been safe, and may obviate the need for major revision surgery in a proportion of cases with recurrent club foot deformity following previous posteromedial soft tissue release.Document Type: Research article
DOI: 10.1080/00016470410001538
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