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May 1972

Equinocavovarus in Muscular DystrophyIts Treatment by Percutaneous Tarsal Medullostomy and Soft Tissue Release

Author Affiliations

From the departments of orthopaedic surgery, University of Illinois and Strauss Surgical Group Association, Louis A. Weiss Memorial Hospital, Chicago.

Arch Surg. 1972;104(5):644-646. doi:10.1001/archsurg.1972.04180050020005

Talipes equinocavovarus is a late deformity in progressive muscular dystrophy. This condition occurs secondary to selected weakening and contracture of foot musculature, augmented by tarsal deformity, and eventually prohibits standing and walking. Percutaneous tarsal medullostomy with soft tissue release has been successfully employed in the treatment of four such patients (seven feet). All were male patients, ranging in age from 9 to 13 years. Follow-up has been from 27 to 44 months postoperatively. All patients are currently ambulatory without recurrence of deformity. This program has enabled them to maintain independent pain-free ambulation and has significantly delayed confinement to a wheelchair with its accompanying inexorable downhill course.

Duchenne BBA:  Recherches sur la paralysie musculaire pseudo-hypertrophique, ou paralysie myosclérosique . Arch Gen Med 6 ser 11:5-25,179-209,305-321,421-443,552-588, 1868.
Vignos PJ Jr:  Diagnosis of progressive muscular dystrophy . J Bone Joint Surg 49A:1212-1220, 1967.
Siegel IM, Miller JE, Ray RD:  Subcutaneous lower limb tenotomy in the treatment of pseudohypertrophic muscular dystrophy . J Bone Joint Surg 50A:1437-1443, 1968.