الفهرس 
EtiologyOnly 14 pages are availabe for public view
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Abstract
Congenital vertical talus is a rare flatfoot deformity that is present at birth and is characterized by a fixed dorsal dislocation of the navicular on the talus with associated Achilles tendon and dorsolateral soft-tissue contractures as well as calcaneocuboid joint subluxation and/or dislocation resulting in a rigid flatfoot deformity.
Primary surgical treatment of a congenital vertical talus in Children up to the age of 3 years is an open reduction of the talonavicular joint, which can be done with either a one-stage or two-stage extensive soft-tissue release.
In 2006, Dobbs et al. published their results of a new method of treatment of CVT. The authors extrapolated the Ponseti principle for CVT management.
This review aimed to assess the efficacy of Dobbs technique in management on idiopathic and non-idiopathic s
Dobbs technique appears to achieve good results in the management of congenital vertical talus either idiopathic or non-idiopathic as regard the clinical and radiological outcomes.
Clinical outcomes as measured by Adelaar score showed 90% of cases scoring excellent and good results, and mean global PODCI score of 81.5.
All radiological angles showed improvement making a statistically difference between preoperative and postoperative angles values.
Recurrence rate was higher in non-idiopathic cases than idiopathic cases with recurrence rate of 25% and 10.8% respectively.
El Khosousy et al. used the original Dobbs technique and reported the highest number of included cases with idiopathic CVT (46 feet) with no recurrence reported.
Although Chalayon et al. included only non-idiopathic cases in the study, the study showed good reults in clinical and radiological outcomes with recurrence rate of 20%.
The highest rate of recurrence is reported in Wright et al. with recurrence rate of 47% of cases.
Chauhan et al. and Yang et al. compared Dobb’s technique with the single stage extensive surgery correction. Both studies showed better results with Dobbs method than the extensive surgery as regard the clinical outcomes measured by PODCI score and radiological angles correction.