FootTalectomy in Arthrogryposis: Analysis of ResultsD'Souza, Harold M.S., D.N.B.; Aroojis, Alaric M.S., D.N.B.*; Chawara, G. S. M.S.Author Information Study conducted at Children's Orthopaedic Hospital and Bai Jerbai Wadia Hospital for Children, Mumbai, India From Children's Orthopaedic Hospital, Haji Ali; and *Bai Jerbai Wadia Hospital for Children, Parel, Mumbai, India. Address correspondence and reprint requests to Dr. H. D'Souza, 52, Niranjan Housing Society, 2nd Floor, Pantnagar, Ghatkopar, Mumbai 400 075, India. Journal of Pediatric Orthopaedics: November-December 1998 - Volume 18 - Issue 6 - p 760-764 Buy Abstract Talectomy is recommended as a primary or salvage procedure for management of rigid or recurrent equinovarus deformity in arthrogryposis. Twenty-one feet (11 children) that had undergone talectomy were reviewed at a mean follow-up of 11.1 years (range, 2-24). Fourteen (73.7%) feet were satisfactory at final review, whereas five (26.3%) had an unsatisfactory result. Attention to technical details and accurate positioning of calcaneus in the ankle mortise are the two important prerequisites to guarantee a satisfactory long-term result. Fusion of the tibiocalcaneal articulation in optimal position, either spontaneous or induced, is a favorable sign, as it ensures lasting correction of the deformity. The role of a tight and fibrotic tibialis anterior in causing recurrence of severe forefoot adduction and supination is discussed. © 1998 Lippincott Williams & Wilkins, Inc.