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Flexibility of idiopathic congenital clubfeet treated by posteromedial release without talocalcaneal joint release

Machida, Jiro; Kameshita, Kikuo; Okuzumi, Shigeharu; Nakamura, Naoyuki

Journal of Pediatric Orthopaedics B: May 2014 - Volume 23 - Issue 3 - p 254–259
doi: 10.1097/BPB.0000000000000031
Foot & Ankle

We retrospectively reviewed 57 patients with 84 idiopathic clubfeet and followed them up for at least 15 years. All feet were rated as good or excellent according to the International Clubfoot Study Group score. Stress radiographs showed that the arc of forefoot motion of conservatively treated feet was 81%, in operated feet of patients aged more than 1 year it was 74%, and in feet of patients aged less than 1 year during surgery it was 65%, compared with those in contralateral normal feet. Despite the severity of the deformity, feet treated by our posteromedial release without talocalcaneal joint release were flexible and functional.

Department of Orthopaedics, Kanagawa Childrens Medical Center, Yokohama, Japan

Correspondence to Jiro Machida, PhD, MD, Department of Orthopaedics, Kanagawa Childrens Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama 232-8555, Japan Tel: +81 45 711 2351; fax: +81 45 721 3324; e-mail: jmachida@kcmc.jp

© 2014 by Lippincott Williams & Wilkins, Inc.