Revision surgery in clubfeet.
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.
Atar
D
D
Hospital for Joint Diseases Orthopedic Institute, New York, New York 10003.
Lehman
W B
WB
Grant
A D
AD
Strongwater
A M
AM
D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000145:classification / Q000601:surgery*; D006801:Humans; D007223:Infant; D012086:Reoperation / Q000379:methods