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Management of resistant, relapsed, and neglected clubfoot

Dimeglio, Alain; Canavese, Federico

doi: 10.1097/BCO.0b013e31827ceb49
SPECIAL FOCUS: Orthopaedic Challenges in Asia

From virgin to neglected clubfoot, situations are variable and strategies different when surgery is necessary. If conservative treatment is no longer effective, surgery should be considered. Mini-invasive surgery is a complementary procedure to nonoperative treatment (surgery “à la carte”). Conservative treatment reduces but does not eliminate the need for mini-invasive surgical procedures. Resistant clubfeet are those not fully respondent to standard methods of orthopaedic treatment. Relapsed clubfeet are those patients with a history of soft-tissue releases followed by a rapid relapse. Neglected clubfeet are those resulting from failure to treat the deformity at birth or in early infancy or to provide adequate treatment during infancy and early childhood. Relapsed and neglected clubfeet are some of the most difficult pediatric orthopaedic problems to treat. Every effort should be made to prevent them from occurring. The purpose of this work is to present an overview of treatment options for resistant, relapsed, and neglected clubfoot.

aUniversity of Montpellier, Faculty of Medicine

bPediatric Surgery Department, Estaing University Hospital, Clermont Ferrand, France

Financial Disclosure: The authors report no financial conflicts of interest.

Correspondence to Alain Dimeglio, MD, University of Montpellier, Faculty of Medicine, 2, Rue de l'Ecole de Medecine, Montpellier 34000, France Tel: +0033608332826; fax: +0033473751196; e-mail: alaindimeglio@wanadoo.fr

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