Treatment of clubfoot by posterior capsulectomy.
Posterior capsulectomy is a complete excision of the posterior tibiotalar and talocalcaneal capsule with a release of the distal tibiofibular connection. The operation is proposed for a resistant or relapsed clubfoot, where remaining equinus is the major problem. A follow-up of 29 operations showed that the average talocalcaneal angle became normal in the AP and lateral views. The best results were obtained with long postoperative cast immobilization, i.e. 6 months.
D000125:Achilles Tendon / Q000601:surgery; D000843:Ankle Joint / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003949:Diagnostic Techniques, Surgical; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D011859:Radiography; D013628:Talus / Q000601:surgery; D013640:Tarsal Joints / Q000503:physiopathology; D013997:Time Factors