FOOT & ANKLEClubfoot associated with preaxial polydactylyEberhardt, Olivera; Fernandez, Francisco F.a; Gabriel, Heinzb; Wirth, Thomasa; Fuchs-Winkelmann, Susannec; Peterlein, Christian D.c Author Information aOrthopaedic Department, Olgahospital, Stuttgart bInstitute for Clinical Genetic Klinikum Stuttgart, Stuttgart, Germany cDepartment of Orthopaedics and Rheumatology, University Hospital Gieβen and Marburg, Marburg, Germany Correspondence to Oliver Eberhardt, MD, Olgahospital Stuttgart, Bismarckstrasse 8, 70176 Stuttgart, Germany Tel: +49 7 112 787 3210; fax: +49 7 112 787 3229; e-mail: [email protected] Journal of Pediatric Orthopaedics B: November 2014 - Volume 23 - Issue 6 - p 505-511 doi: 10.1097/BPB.0000000000000084 Buy Metrics Abstract We report on three children with bilateral, congenital clubfoot. Four of the six clubfeet were associated with preaxial polydactyly. Five of the six clubfeet were treated without extensive surgery. A plantigrade foot was achieved, even in the three clubfeet with polydactyly, using serial casting and percutaneous Achilles tenotomy. Casting was adapted according to the existing polydactyly. One case with tibial hemimelia and a complex clubfoot deformity with preaxial tarsal polydactyly required more comprehensive surgery. A foot with good weight-bearing function was also achieved in this case following resection of the accessory medial ray, including resection of the accessory tarsal bones and posterior release. Remaining limitations in mobility were ascribed to hindfoot pathologies. © 2014 by Lippincott Williams & Wilkins, Inc.