{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:47:26Z","timestamp":1790790446393,"version":"4.1.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T00:00:00Z","timestamp":1642550400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>We investigated the radioclinical outcomes of naviculectomy and limited\/tailored soft-tissue releases in a short series of ambulatory children with complex\/intractable congenital vertical talus subsets namely neglected, multiple operated, and recurrent patients. We postulated that this technique will yield satisfactory radioclinical outcomes and minimal complications because it avoids extensive surgical release\/trauma that is otherwise classically recommended for complex congenital vertical talus. The cohort consisted of 5\u20144 boys and 1 girl\u2014complex congenital vertical talus children with neglected, multiple operated, and\/or recurrent subsets. Patients were included if manipulative casting techniques were deemed unlikely to produce a plantigrade foot. Patients underwent naviculectomy with variable on-demand limited soft-tissue releases. Two patients had bilateral affection and 2 had a nonidiopathic cause. The mean age was 5.2 years (4-6.25) and mean follow-up was 2.3 years (1-3). We reported satisfactory outcomes as per foot posture, function, overall parent satisfaction including pain and radiography per lateral views of talar-axis-first metatarsal base angle on the short\/intermediate term. Whereas manipulative casting is unlikely to yield lasting outcomes in ambulatory children with complex subsets of congenital vertical talus, extensive surgical soft-tissue releases have unfavorable long-term complications. As a substitute, naviculectomy as a form of resection arthroplasty created a practical and affordable third way between manipulative casting with or without minimally invasive surgery and the extensive surgical soft-tissue releases on the short-to-intermediate term.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV case series<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400211068265","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T06:11:25Z","timestamp":1642572685000},"page":"117-125","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Naviculectomy With Limited Soft-Tissue Releases as a Third Way Beyond Manipulative Treatment and Extensive Soft-Tissue Releases for Ambulatory Children With Complex Congenital Vertical Talus: A Technical Note"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1793-3232","authenticated-orcid":false,"given":"Ahmad S.","family":"Aly","sequence":"first","affiliation":[{"name":"Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt (ASA, SS, SM, TAES)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shady","family":"Samir","sequence":"additional","affiliation":[{"name":"Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt (ASA, SS, SM, TAES)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shady","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt (ASA, SS, SM, TAES)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6510-9419","authenticated-orcid":false,"given":"Tamer A.","family":"El-Sobky","sequence":"additional","affiliation":[{"name":"Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt (ASA, SS, SM, TAES)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-14-00034"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.01002"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B6.32313"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-012-0433-z"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00132-012-2047-z"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B2.32992"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00164"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1302\/1863-2548.13.190079"},{"key":"e_1_3_3_10_2","volume-title":"Principles and Management of Pediatric Foot and Ankle Deformities and Malformations","author":"Mosca VS.","year":"2014","unstructured":"Mosca VS. 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Single stage surgical correction of congenital vertical talus by complete subtalar release and peritalar reduction by using the Cincinnati incision. 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