Early Dwyer operation in talipes equinovarus.
For clubfeet resistant to conservative treatment, an early soft-tissue release and reduction of talonavicular dislocation are recommended. To prevent the deforming influences towards varus of the often small inverted heel and make it reach the ground properly, a Dwyer osteotomy of the calcaneum is indicated. In a series of 22 patients this operation was performed on 29 clubfeet. The results at follow-up were satisfactory in all of the patients operated on before the age of 1 year, the youngest being 3 months. Young patients with a varus and small inverted heel respond very well.
D000293:Adolescent; D000367:Age Factors; D002111:Calcaneus / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D004204:Joint Dislocations / Q000601:surgery; D008297:Male; D010027:Osteotomy / Q000379:methods