Original Articles: PDF OnlyTreatment of the Idiopathic Clubfoot Critical Evaluation of Different Types of Treatment ProgramsDewaele, J.; Zachee, B.; Vleeschauwer, P. De; Fabry, G.Author Information Department of Orthopaedics, University Hospital Pellenberg, K.U. Leuven, Belgium Journal of Pediatric Orthopaedics B: Volume 3 - Issue 1 - p 89-95 Buy Abstract Fifty-four patients with 73 idiopathic clubfeet, primarily treated in our department, were reviewed with a mean follow-up time of 9 years 4 months. According to the Laaveg-Ponseti score, 56% of results were excellent or good, 37% were fair, and 7% were poor. According to the McKay score, only 25% of results were excellent or good, 45% were fair, 26% were poor, and 4% were failures. Patients were divided according to their treatment program. A one-stage reduction of all deformities with a posteromedial release showed the best results, superior to “chirurgie a la carte” or staged surgery. The best results were obtained with posteromedial release performed in the first year of life. © Williams & Wilkins 1994. All Rights Reserved.