Review Article
Volume 11 Issue 3 - 2020
Long-Term Results of Treatment of Children with Congenital Vertical Talus in Russia
Gromov IV1*, Vavilov MA1, Soloveva EN1 and Sokolov AG2
1The Regional Children's Clinical Hospital, Yaroslavl, Russian Federation
2Federal State Budgetary Educational Institution of Higher Education "Yaroslavl State Medical University" of the Ministry of Healthcare of the Russian Federation
*Corresponding Author: Gromov IV, The Regional Children's Clinical Hospital, Yaroslavl, Russian Federation.
Received: January 22, 2020; Published: February 11, 2020


Introduction: According to various authors the frequency of the vertical position of the talus is 1 per 10 000 newborns.

Objective: To study the long-term results of treatment of feet with congenital vertical talus, treated by means of the classical techniques of treatment and the minimally invasive approach of M. Dobbs.

Materials and Methods: 30 clinical impressions (54 feet) with serious congenital flat-valgus deformities of the feet were analyzed for 11 years. The age of patients at the beginning of treatment varied from 1 month to 13 years. Primarily, 54 operations were performed to them. Three-articular arthrodesis - 2, open reduction of the talus bone by S.J. Kumar, K.R. Cowell, D.L. Ramsey - 5, open reduction of the talus by Colleman with bonding - 6, serial casting and percutaneous fixation of the Talo-navicular joint with K-wire with Achilles tentotomy - 41. In these conditions, the reduction of the talus bone of 23 feet was carried out under control of the eye with capsuloplasty, in other cases it was closed under the C-arm.

Results: According to the analysis the most beneficial results were those results of treatment of 21 children (41 feet) who at an early age had an approach M. Dobbs, including a serial casting in combination with minimally invasive surgical procedures and the further wearing of braces. Despite the initial decentish correction in the course of growth (on average 6.1 years) there were relapses of the vertical talus (3 children - 4 feet) to the level of transverse talus and the case of a complete loss of correction results, which required follow-up surgery. However, the need for open reduction of the talus bone in this patient’s population in our clinic has significantly decreased after introduction of the M. Dobbs method. In addition, there are more and more cases of successful primary treatment by Dobbs method in the national literature and long-term results in our country are not yet presented.

Conclusion: Method of Dobbs demonstrates its effectiveness. Surgical intervention according to the methods of Kumar and Coleman are rescue therapy for children whose feet deformity was revealed late or recurred due to the lack of efficacy of the Dobbs methods. Triple arthrodesis as a definitive surgery can be used in case of late detection of pathology or poor results.

Keywords: vertical Talus; Flatfoot; Dobbs’ Method; Foot Deformity


  1. Konyukhov MP. “Surgical treatment of congenital flat-valgus deformities of the feet in children”. Doctor Medicinae Sciences (1989): 46.
  2. Kuznechikhin EP and Ulrich E.V. “Surgical treatment of children with diseases and deformations of the musculoskeletal system: a guide for doctors”. M. Medicine (2004): 499. 
  3. Coleman SS., et al. “Pathomechanics and treatment of congenital vertical talus”. Clinical Orthopaedics and Related Research 70 (1970): 62-72. 
  4. Colton CL. “The surgical management of congenital vertical talus”. The Journal of Bone and Joint Surgery British Volume 55 (1973): 566-574.
  5. Dobbs MB., et al. “Autosomal dominant transmission of isolated congenital vertical talus”. Iowa Orthopedic Journal 22 (2002): 25-27. 
  6. Dobbs MB., et al. “Early results of a new method of treatment for idiopathic congenital vertical talus. Surgical technique”. Journal of Bone and Joint Surgery 89.2 (2007): 111-121.
  7. Dobbs MB., et al. “Early results of a new method of treatment for idiopathic congenital vertical talus”. Journal of Bone and Joint Surgery 88 (2006): 1192-1200.
  8. Dobbs MB., et al. “Autosomal dominant transmission of isolated congenital vertical talus”. Iowa Orthopedic Journal 22 (2002): 25-27.
  9. Dobbs MB., et al. “HOXD10 M319K mutation in a family with isolated congenital vertical talus”. Journal of Orthopaedic Research 24 (2006): 448-453.
  10. Dodge LD., et al. “Treatment of the congenital vertical talus: a retrospective review of 36 feet with long-term follow-up”. Foot Ankle 7 (1987): 326-332. 
  11. Drennan JC. “Congenital vertical talus”. Instructional Course Lectures 45 (1996): 315-322. 
  12. Gurnett CA., et al. “Absence of HOXD10 mutations in idiopathic clubfoot and sporadic vertical talus”. Clinical Orthopaedics and Related Research 462 (2007): 27-31.
  13. Fitton JM and Nevelos AB. “The treatment of congenital vertical talus”. The Journal of Bone and Joint Surgery. British Volume 61 (1979): 481-483. 
  14. Jacobsen ST and Crawford AH. “Congenital vertical talus”. Journal of Pediatric Orthopaedics 3 (1983): 306-310.
  15. Kumar SJ., et al. “Vertical and oblique talus”. Instructional Course Lectures 31 (1982): 235-251.
  16. Zorer G., et al. “Single stage surgical correction of congenital vertical talus by complete subtalar release and peritalar reduction by using the Cincinnati incision”. Journal of Pediatric Orthopaedics 11 (2002): 60-67.
  17. Mukerjee KB., et al. “Long-term comparative results in patients with congenital clubfoot treated with two different protocols”. Journal of Bone and Joint Surgery 86 (2004): 1830-1832.
Citation: Gromov IV., et al. “Long-Term Results of Treatment of Children with Congenital Vertical Talus in Russia”. EC Orthopaedics 11.3 (2020): 01-10.

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