title: Revision surgery in clubfeet.
abstract: The reoperated clubfeet of 29 children aged one to 12 years were reviewed. The surgical procedure most often used in revision surgery was recomplete soft-tissue release alone or combined with plantar release, calcaneocuboid fusion, and capsulotomies of the navicular-first cuneiform-first metatarsal joint. In 27 of 29 feet, acceptable results were achieved. Nineteen were excellent and good results. An algorithm that suggests surgical solutions to a variety of clubfoot deformities in different age groups has been developed, as well as an objective rating system, to evaluate the long-term results of revision surgery of clubfeet.
authors.affiliation: Hospital for Joint Diseases Orthopedic Institute, New York, New York 10003.
authors.forename: D
authors.initials: D
authors.lastname: Atar
authors.forename: W B
authors.initials: WB
authors.lastname: Lehman
authors.forename: A D
authors.initials: AD
authors.lastname: Grant
authors.forename: A M
authors.initials: AM
authors.lastname: Strongwater
mesh_terms: D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000145:classification / Q000601:surgery*; D006801:Humans; D007223:Infant; D012086:Reoperation / Q000379:methods