Revision surgery in clubfeet.
Twenty-nine reoperated clubfeet were reviewed. The age range of the patients at the time of the revision surgery was 1-12 years. The average follow-up period was 30 months (range 9-36 months). The surgical procedure used most often in the revision surgery was complete soft tissue release alone or combined with plantar release, calcaneocuboid fusion, and capsulotomies of the navicular first-cuneiform joint and the first-cuneiform first-metatarsal joint. In 27 of 29 feet the results were considered acceptable (19 of 29 were rated excellent or good). An algorithm that suggests surgical solutions to a variety of clubfoot deformities in different age groups has been developed, as well as an objective functional rating system to evaluate long-term results in revision clubfoot surgery.
Atar
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Department of Pediatric Orthopaedics, Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003.
Lehman
W B
WB
Grant
A D
AD
Strongwater
A
A
D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D005528:Foot / Q000502:physiology; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D012086:Reoperation; D013514:Surgical Procedures, Operative / Q000379:methods