Author/Editor		Antolič, V; Baebler, B
Title		Zdravljenje prirojenega ekvinovarusa: kirurška tehnika
Translated title		Treatment of congenital clubfoot: surgical technique
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 34, št. 3
Publication year		1995
Volume		str. 385-93
Language		slo
Abstract		Basic principles of conservative and operative treatment of congenital clubfoot are presented. Redressing therapy with casting is started on the first day after the birth. Varus, adductus and supination components of congenital clubfoot are gradually corrected while forcible reduction of the equinus component is never attempted. Infants are operated on at the age between 6 and 12 months. In mild forms of congenital clubfoot posterior release with elongation of the Achilles tendon are performed. In severe forms of congenital clubfoot complex solft tissue release on the lateral, posteior and medial aspects of the foor and in subtalar region are performed with elongation of several tendons and reposition of the forefoot.
Summary		Opisane so osnove konzervativnega in operativnega zdravljenja prirojenega ekvinovarusa. Prvi dan po rojstvu začnemo z redresijskim zdravljenjem s pomočjo mavčenja. Popravimo varusni, adduktusni in supinatorni položaj (deformacijo), ekvinusnega položaja pa ne redresiramo na silo. Operiramo v otrokovi starosti od 6 mesecev do enega lega. Pri lažji obliki prirojenega ekvinovarusa naredimo zadajšnjo sprostitev s podaljšavo Ahilove kite. Pri težjih oblikah prirojenega ekvinovarusa izvajamo kompleksno sprostitev mehkih struktur na lateralni, posteriorni in medialni strani stopala ter subtalarno s podaljšavo kit in naravnavo sprednjega dela stopala.
Descriptors		CLUBFOOT CHILD