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Residual forefoot deformity predicts the need for future surgery in clubfeet treated by Ponseti casting

Hosseinzadeh, Pooya; Peterson, Erik D.; Walker, Janet; Muchow, Ryan D.; Iwinski, Henry J.; Talwalkar, Vishwas R.; Milbrandt, Todd A.

Journal of Pediatric Orthopaedics B: March 2016 - Volume 25 - Issue 2 - p 96–98
doi: 10.1097/BPB.0000000000000262

Tibialis anterior tendon transfer (TATT) is performed for treatment of recurrent clubfeet. We investigated the predictability of residual adductus on the future need for TATT. A retrospective review of 143 patients with clubfoot was performed. The patients were divided into two groups: group 1 with a history of TATT and group 2 with no TATT. Heel-forefoot angle (HFA) was measured. HFA was compared between the groups. HFA was significantly different between groups 1 and 2. Residual adductus deformity in clubfeet treated by Ponseti casting is a risk factor for future need for surgical treatment.

Shriners Hospital for Children, Lexington, Kentucky, USA

Correspondence to Pooya Hosseinzadeh, MD, Shriners Hospital for Children, 1900 Richmond Road, Lexington, KY 40502, USA Tel: +1 305 279 3784; fax: +1 786 533 9327; e-mail:

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