The Overcorrected Clubfoot in Children.

Clubfoot overcorrection can develop gradually over years and is characterized in school age by hindfoot valgus position due to excessive rigid peritalar eversion, sometimes accompanied by supramalleolar valgus malalignment. Surgical treatment is recommended in severe cases and consists of bony realignment at the peritalar complex by osteotomy or fusion, correction of the supramalleolar valgus deformity in younger children by hemiepiphyseodesis, or osteotomy in adolescents. In addition, dorsal bunion requires stabilization of the medial tarsometatarsal ray and transfer of the tendons of Mm.

Radiological tarsal bone morphology in adolescent age of congenital clubfeet treated with the Ponseti method.

Background: Major abnormalities of tarsal bone shape after surgical clubfoot treatment are well known from the literature. The Ponseti method has gained widespread acceptance in primary treatment of congenital clubfeet. Despite the longtime experience, data regarding the development of tarsal bones after this treatment are still rare.

Is it possible to define reference values for radiographic parameters evaluating juvenile flatfoot deformity? A case-control study.

Background: Numerous radiographic parameters are described to evaluate juvenile flexible flatfeet. Reference values for these measurements are based on few studies. The purpose of this study was to determine boundary values among the most widely used radiographic measurements to evaluate juvenile flatfeet.

Heat stress and cow factors affect bacteria shedding pattern from naturally infected mammary gland quarters in dairy cattle.

Mastitis-causing pathogens are shed from infected mammary gland quarters and thus contribute to an increased risk of new intramammary infections. The objective of the current study was to investigate the shedding characteristics of various mastitis-causing pathogens and associated animal-specific (somatic cell score and parity) and environmental (heat stress) factors. In a longitudinal study, infected udder quarters were sampled consecutively on 5 dairy farms in Germany.

Non-S. aureus staphylococci (NAS) in milk samples: Infection or contamination?

Non-S. aureus staphylococci (NAS) are the most frequently isolated pathogens from bovine milk and can cause intramammary infections (IMI). They can also be found in teat canals, on bovine skin and in cows' environment, which may lead to unnoticed contamination of milk samples.

Early results after tibialis anterior tendon transfer for severe varus in total ankle replacement.

Background: Treatment of severe ankle arthritis with varus malalignment remains controversial.

Methods: In 14 consecutive total ankle replacements (TAR) with tibiotalar varus malalignment of above 15 (range, 16 to 41) degrees, a complete transfer of the tibialis anterior tendon together with other soft-tissue and bony realignment measures was added to the primary procedure.

Results: After mean followup time of 33.

[Resection of talocalcaneal coalition in children and adolescents without and with osteotomy of the calcaneus].

Objective: Resection of the painful medial talocalcaneal fibrocartilaginous or bony bridge, thereby restoration of mobility of the peritalar joint complex; in case of flatfoot deformity realignment of the hindfoot and midfoot by medial sliding calcaneal osteotomy and in some cases correction of equinus contracture by intramuscular lengthening of the gastrocnemius muscle.

Indications: Before growth arrest: --Bony or fibrocartilaginous bridge at the medial or dorsomedial talocalcaneal region with or without pain. --Rigid flatfoot deformity caused by talocalcaneal coalition.