Octopus Clubfoot Rediscovered - World’s First Exotic Case - A Neglected, Triple Axes Rotational, Grade 3 Extreme Deformity: Corrected by, Unparalleled, 4-In-1 Mega Surgical Skin Expansion from Crooked to ROZY Foot_ Crimson Publishers

 Octopus Clubfoot Rediscovered - World’s First Exotic Case - A Neglected, Triple Axes Rotational, Grade 3 Extreme Deformity: Corrected by, Unparalleled, 4-In-1 Mega Surgical Skin Expansion from Crooked to ROZY Foot by Mittal RL* in Orthopedic Research journal_ orthopedic research online journal

 

 

Abstract

Octopus clubfoot is the world’s first, the most spectacular severe/ rigid BIZARRE deformity with this new catchy name given by the author. This 18-year-old girl was operated by 4-in-1 unifying incision (first ever four well known plastic surgery procedures in one incision) with excellent, extremely gratifying, normal looking foot, without any arthrodesis. During The Intervening Period, Numerous, Highly Significant, Firsts Were Discovered relating to this case, having potential for changing global thinking of treating highly prevalent varied neglected deformities, prevalent globally, more in LMICs (as reported in author’s SICOT article at (Table 1) and Clubfoot Book by Taylor & Francis 2018, available, the world over, on Google search). It displayed an AWESOME SHOW IN PRINT MEDIA AND GOOGLE IN ITS FIRST DISCOVERY. It is expected that. RETRIEVAL OF THIS NATURE’S FREAK NEEDS A LOUD REAWAKENING CALL, because of potential to be a game changer in the history of Clubfoot management.

This graded unification of rotation flap, Z-plasty, VY-plasty and fillet flap, is not only a treatment of this case, but also a surgical concept. This can achieve requisite enlargement of contracted skin chamber in any Crooked Clubfoot. In other words, it may be only Rotation flap or in combination with other three as 2, 3, or 4-in-1 incision. This is reproducible too in any, severest of severe deformity, at any age from one year to late adulthood. Author has been actually doing this and documented too. Each one of the four, enlarges skin container, complementing each other for maximum enlargement of fascio-cutaneous room. However, deeper corrections are no less important, which become easier; achieving a longer, flexible and good shape foot, without arthrodesis. Therefore, OCTOPUS CLUBFOOT, incarcerated, like in a cell, in the pages of Sicot journal and Clubfoot book, need to come out into the open sky to become visible worldwide highlighting this surgical concept for clubfoot community and care givers. An ugly Crooked Foot can be converted in to a pleasing ROZY Foot. ROZY is an ACRONYM FROM Rotation, Z-plasty and vY-plasty of SKIN CHAMBER and Crooked depicts the annoying feeling of this deformity.

Introduction
Author has been researching in this grey area of Trimorphic Extreme Clubfoot Deformities since more than 50 years. This nomenclature was given by the author Mittal [1] for 3 grades of this deformity, which are prevalent, worldwide, in all LMICs and 80% of global population. They form a big chunk of the whole, remaining uncorrected, under-corrected or relapsing with age to the tune of 95% Tarraf [2] as reported in literature under various names, for want of a good/ acceptable surgical treatment They are commonly seen in LMICs with millions of DALYs wasted & GBD Ponseti [3]. The most important reason discovered for failures has been the neglect of contracted fascio-cutaneous foot & ankle chamber of varying severity/ rigidity. New surgical techniques were invented, with groundbreaking achievements of innumerable global presentations/ publications Mittal [4-6] with many awards/ rewards. This research has been accomplished in THREE PHASES: first phase for about 25 years in grade 1, 2nd phase about 15 years in grade 2 and the third phase in grade 3 extreme deformities, with landmark unique achievements (still continuing). The third phase has been the most significant.

Rotation flaps, Z-plasty, VY-plasty and Fillet flaps, well known four plastic surgery procedures, are frequently used as single procedures in cases of skin loss in the limbs, due to trauma, but have never been unified as two, three or all fours by any surgeon. This is the one and the only case, where all four procedures have been used by any orthopedic surgeon.

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