{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:39:03Z","timestamp":1784579943814,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: This study aimed to evaluate the implementation, in a single session, of both massive posteromedial release and triple arthrodesis for rigid neglected clubfoot deformities in adult patients, and its effects on clinical and radiological results.\n\nMethods: The procedures were performed in one session on 15 feet of 11 patients [7 male, 4 female; mean age 26 (range: 15 to 50)]. Staples were used for fixation in all patients. For clinical assessment, the AOFAS (American Orthopaedic Foot and Ankle Society) ankle- hindfoot scale was used.\n\nAnteroposterior\/lateral side talocalcaneal and talus-1st metatarsal angles were used as radiographic parameters. The mean follow-up was 7.5 years (range: 6 to 11).\n\nResults: The mean AOFAS score rose from a preoperative 39 (range: 15 to 52) to 88 (range: 76 to 94) in the final follow up (p&lt;0.0001). Among the 15 feet, 9 were evaluated as excellent, 5 as good, and 1 as fair. Significant clinical improvement was obtained between preoperative and postoperative surgical periods (p&lt;0.05). Significant improvements were observed in radiographic parameters (p&lt;0.0001).\n\nAt final follow-up, radiographic values were within normal physiological limits. Average union time was 12.4 (range: 7 to 36) weeks. While pseudoarthrosis was not observed in any patients, delayed union developed in 2 cases, and talus avascular necrosis in 1. In the preoperative period, 5 patients had various degrees of degenerative changes. Nine patients developed degenerative changes in different joints and of different degrees.\n\nConclusion: The authors believe that massive soft tissue release and triple arthrodesis performed in a single session yields satisfactory results cosmetically and functionally in neglected clubfoot cases with severe deformities.\n\n \n\n\u00d6zet\n\n \n\nAma\u00e7: \u0130hmal edilmi\u015f \u00e7arp\u0131k ayak deformitelerinde ayn\u0131 seansta uygulanan posteromedial gev\u015fetme ve \u00fc\u00e7l\u00fc artrodezin orta d\u00f6nem sonu\u00e7lar\u0131n\u0131 literat\u00fcr e\u015fli\u011finde de\u011ferlendirmek.\n\n\u00c7al\u0131\u015fma plan\u0131: On bir hastan\u0131n (4 kad\u0131n, 7 erkek; ortalama ya\u015f 26, da\u011f\u0131l\u0131m [15\u201350]) 15 aya\u011f\u0131na ayn\u0131 seansta posteromediyal gev\u015fetme ve \u00fc\u00e7l\u00fc artrodez uyguland\u0131. T\u00fcm hastalara U \u00e7ivisi ile internal fiksasyon yap\u0131ld\u0131. Klinik de\u011ferlendirmede AOFAS (American Orthopaedic Foot and Ankle Society) taraf\u0131ndan tan\u0131mlanan ayak bile\u011fi-ard ayak klinik skorlamas\u0131 kullan\u0131ld\u0131. Radyolojik de\u011ferlendirme, \u00f6n arka ve yan \u00e7ekilen grafiler \u00fczerinde talokalkaneal ile talus-1.metatars a\u00e7\u0131lar\u0131n\u0131n \u00f6l\u00e7\u00fcmleri ile yap\u0131ld\u0131. Ortalama izlem 7.5 y\u0131ld\u0131 (da\u011f\u0131l\u0131m, 6\u201311).\n\nBulgular: Ameliyat \u00f6ncesi ortalama 39 (da\u011f\u0131l\u0131m, 15\u201352) olan AOFAS skoru, son de\u011ferlendirmede 88 (da\u011f\u0131l\u0131m, 76\u201394) olarak bulundu (p&lt;0.0001). AOFAS skorlamas\u0131 ile birlikte fonksiyonel ve kozmetik de\u011ferlendirmeler g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda sonu\u00e7lar, 15 aya\u011f\u0131n dokuzunda \u00e7ok iyi, be\u015finde iyi ve birinde orta olarak bulundu. Son kontrollerde radyolojik de\u011ferlerin normal fizyolojik s\u0131n\u0131rlarda oldu\u011fu g\u00f6r\u00fcld\u00fc. Ameliyat \u00f6ncesi ile ameliyat sonras\u0131 aras\u0131nda anlaml\u0131 klinik ve radyolojik d\u00fczelme elde edildi. Ortalama kaynama zaman\u0131 12.4 (da\u011f\u0131l\u0131m 7\u201336) hafta idi. Ps\u00f6doartroza hi\u00e7bir hastada rastlanmazken iki hastada kaynama gecikmesi, bir hastada da talusta avask\u00fcler nekroz geli\u015fti. Ameliyat \u00f6ncesi d\u00f6nemde hastalar\u0131n be\u015finde ayakbile\u011finde de\u011fi\u015fik derecelerde dejeneratif de\u011fi\u015fiklikler vard\u0131. Son kontrollerde dokuz hastan\u0131n farkl\u0131 eklemlerinde ve farkl\u0131 derecelerde dejeneratif de\u011fi\u015fikliklerin geli\u015fti\u011fi g\u00f6r\u00fcld\u00fc.\n\n\u00c7\u0131kar\u0131mlar: \u0130hmal edilmi\u015f idyopatik \u00e7arp\u0131k ayak deformitelerinde tek seansta uygulanan posteromedial gev\u015fetme ile birlikte \u00fc\u00e7l\u00fc artrodezin fonksiyonel ve kozmetik sonu\u00e7 elde etmede etkili bir y\u00f6ntem oldu\u011fu g\u00f6r\u00fc\u015f\u00fcndeyiz.<\/jats:p>","DOI":"10.3944\/aott.2015.13.0019","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T09:50:45Z","timestamp":1425635445000},"page":"175-183","source":"Crossref","is-referenced-by-count":7,"title":["Mediumterm results of singlestage posteromedial release and triple arthrodesis in treatment of neglected clubfoot deformity in adults"],"prefix":"10.5152","volume":"49","author":[{"given":"Orhan","family":"Akinci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yavuz","family":"Akalin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2961\/2914","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:09:49Z","timestamp":1763464189000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2961"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2015,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.13.0019","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}