The Heyman-Herndon tarsometatarsal capsulotomy for metatarsus adductus: results in 48 feet.
Forty-eight Heyman-Herndon tarsometatarsal capsulotomies were performed over an 18-year period for idiopathic metatarsus adductus and residual adductus of clubfoot. There was a 41% overall failure rate and a 50% incidence of painful dorsal prominence at the surgical scar. Sixty-eight percent of the patients had difficulty with proper shoe fitting. Those with associated orthopedic anomalies were at high risk for a poor result. We believe that tarsometatarsal capsulotomy is of questionable benefit in treatment of forefoot adduction deformities of children.
D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D005532:Foot Deformities, Congenital; D006801:Humans; D008684:Metatarsus / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology*; D013640:Tarsal Joints / Q000601:surgery*; D013997:Time Factors