Complete subtalar release in club feet. Part II--Comparison with less extensive procedures.
A comparison of the complete subtalar release with less extensive soft-tissue releases in the treatment of idiopathic club foot was done in two groups of patients. Group I consisted of seventeen patients (twenty-six feet), of whom fourteen patients (twenty-one feet) had a posteromedial and lateral release. Group II consisted of seventeen patients (twenty-five feet) who had a complete subtalar release. All patients were followed for a minimum of two years. The complete subtalar release provided a higher percentage of both radiographically and clinically satisfactory results than did the less extensive soft-tissue procedures, but with the former procedure there was a tendency to overcorrection unless the bones were precisely repositioned at the end of the procedure.
D002675:Child, Preschool; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000209:etiology; D006801:Humans; D007223:Infant; D008023:Ligaments, Articular / Q000601:surgery; D008722:Methods; D011183:Postoperative Complications; D011859:Radiography; D013710:Tendons / Q000601:surgery*