The four quadrant approach to clubfoot surgery.
In the last 20 years, the approach to clubfoot surgery has changed. When surgery is performed, a comprehensive posterior, medial, and lateral release is indicated. The concept of derotation of the os calcis has proved beneficial in resolving the residual pigeon-toed gait. This constitutes the fourth quadrant of correction in clubfoot surgery. The ultimate goal is to achieve a supple functioning, plantargrade foot in one sitting.
D002675:Child, Preschool; D003025:Clubfoot / Q000473:pathology / Q000601:surgery*; D005528:Foot / Q000473:pathology / Q000601:surgery; D005532:Foot Deformities, Congenital; D006801:Humans; D007223:Infant; D008349:Manipulation, Orthopedic; D008722:Methods; D011300:Preoperative Care; D013997:Time Factors