الفهرس 
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Abstract
The Dobbs method has been repeatedly shown to provide excellent correction of Idiopathic congenital vertical talus (ICVT) deformity. The results of Dobbs have been reproduced successfully by a number of surgeons at varied locations of the world. In most places it is the preferred method for treatment of idiopathic congenital vertical talus deformity.
Idiopathic congenital vertical talus is a deformity typically occurring in an otherwise healthy child. The most recent reports using the Dobbs method showed excellent corrections in the majority of patients.
The operative treatment of the congenital vertical talus is associated with poor outcomes with potential need for further surgeries.
Accordingly, six patients were included in our work and all have been treated with Dobbs method. Patients included in this study were diagnosed to have idiopathic congenital vertical talus according to clinical and radiological criteria proposed by Dobbs and aged less than one year.
There were 3 boys and 3 girls with 10 involved feet (6 left: 4 Right). the average age was 11weeks (range 3-20 weeks), all patients were followed up for at least 26 months (range 13-48 months).
A fully detailed personal , gestational, family and social history were collected for all of our patients. Complete general examination to exclude any other congenital anomalies favoring the syndromic nature of the deformity. Local examination to elicit the components of deformity.
Following Dobbs (87,89,109) protocol, we used Adelaar (104) scoring system to evaluate our results as we found it easily applicable and more or less comprehensive in assessing foot and ankle deformities.
Our results according to Adelaar were two (33.3%) and three (50%) of our patients had excellent and good score respectively. Unfortunately we had one patient with a poor result as her deformity recurred at last follow up and have not had the chance to be corrected yet.
The parents are instructed regarding exercises programme with emphasis on a range of ankle plantar flexion and foot inversion, to be performed two or three times a day at home till the age of 2 years old.
The described technique of serial manipulation and cast treatment, pin fixation of the talo-navicular joint, and a percutaneous Achilles tenotomy provided good early results (at a minimum of two years after correction) in terms of the clinical appearance of the foot, foot function, and radiographic evidence of correction. It is recommended that, as with clubfoot treatment (101) with manipulations and casts be initiated for idiopathic congenital vertical talus as soon as the diagnosis is made. Longer follow-up is necessary to determine if correction has been maintained. Since 50% of the cases of congenital vertical talus are idiopathic, this technique may allow many children to avoid traditional surgical treatment while maintaining increased flexibility of the foot.