Cause of toe-in gait after posteromedial release for congenital clubfoot.
Eighteen children with 24 congenital clubfeet were examined for their foot-progression angle and radiographic angles before and after Turco's posteromedial release. The foot-progression angle was -12.9 degrees before surgery and 1.6 degrees after surgery. The ratio of correction of the foot-progression angle was 58%. Using multiple regression analysis, this ratio was mostly related to the ratio of correction of the anteroposterior talo-first metatarsal and lateral talocalcaneal angles. These results suggest that it is important in correction of toe-in gait of congenital clubfoot to correct adduction deformity of the forefoot and equinus deformity of the hindfoot.
Yamamoto
H
H
Department of Orthopaedics, Tokyo Medical and Dental University, Japan.
Muneta
T
T
Furuya
K
K
D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005684:Gait / Q000502:physiology; D006801:Humans; D011859:Radiography