I was specifically asked to attend and document a soft-tissue clubfoot release today. The patient is a one-year-old girl.
There is probably a complete
dictionary of terms that would define the activities in the OR, but I
don’t know any of them. And to laymen, the correct terms wouldn’t mean
The best description I can give is to
say that once the tissue was cut and the foot could be properly
realigned, the doctors drilled a hole in the bone and inserted a stainless
steel rod as a control. They then sutured the tissue internally and then
externally – the end of the rod was left protruding at the heel. The
foot is then bandaged and put in a cast.
This little person needs to come back
to the hospital in 4 weeks to have the rod and the external sutures
removed and be placed in a new cast. She'll need to wear the second cast for
the next 4 weeks and have it replaced with a third case.This impediment is finally removed at 12 weeks. I sure you get the idea, it controls the foot's position as it heals.
They did the second surgery immediately after the first – this young girl, 13 years old, needed a malformed toe removed.