FootManagement of Clubfoot Deformity in AmyoplasiaNiki, Hisateru M.D.; Staheli, Lynn T. M.D.; Mosca, Vincent S. M.D.Author Information From the Department of Orthopedics, Children's Hospital and Medical Center, Seattle, Washington, U.S.A. Study conducted at Children's Hospital and Medical Center, Seattle, Washington, U.S.A. Address correspondence and reprint requests to Dr. L. T. Staheli, Department of Orthopedics, Children's Hospital and Medical Center, 4800 Sandpoint Way N.E./CH-59, Seattle, WA 98105, U.S.A. Journal of Pediatric Orthopaedics: November-December 1997 - Volume 17 - Issue 6 - p 803-807 Buy Abstract Forty-one clubfeet in 22 patients with amyoplasia were studied retrospectively at a mean duration after surgery of 118 months (range, 45-253). The clubfeet were managed by a regimen including initial stretching casts, posteromedial release, and postoperative splinting at night. The mean age at the time of surgery was 7.3 months. Correction of deformity without recurrence was achieved in 11 (27%). Recurrent deformity was corrected by serial casting in eight feet and required secondary operative procedures in 20 feet. In the feet without recurrence of deformity, the duration of splinting at night after surgery was significantly longer than in those with recurrence(p < 0.05). At follow-up, 39 (95%) feet were plantigrade and were considered satisfactory. Our findings suggest that most clubfeet in amyoplasia can be effectively corrected by posteromedial release and that the recurrence of deformity can be reduced by splinting at night and often corrected by serial cast treatment. © Lippincott-Raven Publishers.