Management of ischemic necrosis after posteromedial release of clubfoot

Celal Bozkurt; Osman Karakurt; Ömercan Sepetçi; Turan Bal; Baran Sarıkaya

doi:10.52312/jdrscr.2022.8

Celal Bozkurt¹, Osman Karakurt², Ömercan Sepetçi², Turan Bal², Baran Sarıkaya³

¹Department of Orthopedics and Traumatology, Health Sciences University, Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey
²Department of Orthopedics and Traumatology, Harran University Faculty of Medicine, Şanlıurfa, Turkey
³Department of Orthopedics and Traumatology, Health Sciences University, City Hospital, Bilkent, Ankara, Turkey

Keywords: Arterial deficiency, clubfoot, ischemic necrosis, posteromedial release

Abstract

Some neglected and recurrent clubfoot may be treated surgically, particularly with posteromedial release. Due to the arterial deficiency in clubfoot, ischemic necrosis may be seen in case of posteromedial release. After surgery, plaster cast is applied and, therefore, the surgeon may not notice ischemia in the early period. Therefore, a few signs as purple hallux sign, pain and swelling and bullous lesions on the incision site are important signs of ischemia in the early postoperative period. Herein, we report a case of ischemic necrosis of the medial side of the foot after posteromedial release of a resistant clubfoot case.

Citation: Bozkurt C, Karakurt O, Sepetçi Ö, Bal T, Sarıkaya B. Management of ischemic necrosis after posteromedial release of clubfoot. Jt Dis Relat Surg Case Rep 2022;1(1):23-26.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.