Minimally Invasive Approach for the Treatment of Non- Isolated Congenital Vertical Talus by Ornusa Chalayon, Amelia Adams, and Matthew B. Dobbs J Bone.

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Minimally Invasive Approach for the Treatment of Non- Isolated Congenital Vertical Talus by Ornusa Chalayon, Amelia Adams, and Matthew B. Dobbs J Bone Joint Surg Am Volume 94(11):e73 June 6, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Lateral plantar flexion radiograph showing persistent dorsal translation of the forefoot on the hindfoot. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Lateral dorsiflexion radiograph showing persistent plantar flexion of the talus and the calcaneus. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of a foot with vertical talus at presentation illustrating measurement of the anteroposterior talocalcaneal angle (1) and the anteroposterior talar axis-first metatarsal angle (2). Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Lateral plantar flexion radiograph of a foot with vertical talus at presentation illustrating measurement of the lateral talar axis-first metatarsal base angle (formed by the intersection of a line drawn through the axis of the talus and a line drawn from t... Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Illustration of the direction of forces applied to reduce the vertical talus deformity. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

At the age of three months, before correction of the deformity, the plantar aspect of the patient’s foot is convex and there is fixed forefoot adduction. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Five years after correction of the vertical talus, the patient demonstrates neutral alignment of the hindfeet in stance. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.

A lateral standing radiograph demonstrates normal relationships between the talus and the first metatarsal, between the talus and the calcaneus, and between the tibia and the calcaneus. Ornusa Chalayon et al. J Bone Joint Surg Am 2012;94:e73 ©2012 by The Journal of Bone and Joint Surgery, Inc.