BACKGROUND: The most common historical treatment method for @entity19312 is extensive soft-tissue release surgery. A minimally invasive treatment approach that relies primarily on serial cast correction was introduced almost ten years ago, with promising early results. The purpose of this study was to assess the long-term outcome of @entity1 with @entity19312 managed with the minimally invasive technique and compare them with a cohort treated with extensive soft-tissue release surgery. METHODS: The records of twenty-seven consecutive @entity1 with @entity19312 (forty-two feet) were retrospectively reviewed at a mean of seven years (range, five to 11.3 years) after initial correction was achieved. The minimally invasive method was used to treat sixteen @entity1 (twenty-four feet), and extensive soft-tissue release surgery was used to treat eleven @entity1 (eighteen feet). @entity1 demographics, ankle range of motion, the PODCI (Pediatric Outcomes Data Collection Instrument) questionnaire, and radiographic measurements were analyzed. RESULTS: At the latest follow-up, the mean range of motion of @entity1 treated with the minimally invasive method was 42.4   compared with 12.7   for @entity1 treated with extensive surgery (p < 0.0001). The PODCI normative @entity158 and global function scores were superior in the minimally invasive treatment group compared with the extensive soft-tissue release group. Greater correction of hindfoot valgus (anteroposterior talar axis-first metatarsal base angle) was achieved in the minimally invasive treatment group compared with the extensive surgery group (40.1   versus 27.9  , p = 0.03), although all other radiographic values were similar between the two groups (p > 0.1 for all). Subgroup analysis of @entity1 with isolated @entity19312 also showed superior range of motion and PODCI normative global function scores in the minimally invasive group. CONCLUSIONS: The minimally invasive treatment method for @entity19312 resulted in better long-term ankle range of motion and @entity158 scores compared with extensive soft-tissue release surgery. Longer-term studies are necessary to determine whether the improved outcomes are maintained into adulthood and whether the superior outcome is related to reduced @entity2318 .

Treatment of XXXX : Comparison of Minimally Invasive and Extensive Soft-Tissue Release Procedures at Minimum Five-Year Follow-up.

@entity1 :: ('9606', 'Species') :: ['patients', 'Patient'] @entity19312 :: ('MESH:C536345', 'Disease') :: ['vertical talus', 'congenital vertical talus'] @entity2318 :: ('MESH:D002921', 'Disease') :: ['scarring'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity19312 :: (MESH:C536345,Disease) :: ['Congenital Vertical Talus']
