A radiographic comparative study of two series of skeletally mature clubfeet treated by two different protocols.
OBJECTIVE
To compare the radiographic features of two series of congenital clubfeet to determine whether a different treatment protocol may influence the radiographic results at the end of skeletal growth.


METHODS
Two series of patients with congenital clubfeet, treated by two different manipulative techniques and by two different complementary soft tissue release operations, were radiographically studied at skeletal maturity. Twenty-one normal feet of the unilateral cases in both series served as controls. Anteroposterior and lateral radiographs of the feet were taken with the patient standing, and several radiographic parameters were studied.


CONCLUSIONS
The size of the talus and calcaneus and the height of the talar trochlea were smaller than normal in all cases of clubfeet, were similar in both series and were not influenced by treatment, whereas all the other radiographic parameters studied were more or less different between the two series and seemed to be influenced by treatment. In no treated clubfoot of either series was a normal radiographic foot anatomy restored, not even in those feet that had an excellent clinical result.
Department of Orthopaedic Surgery, University of Rome Tor Vergata, Via della Ricerca Scientifica 135, 00173 Rome, Italy. E.Ippolito@mclink.it
E
E
Ippolito
L
L
Fraracci
R
R
Caterini
M
M
Di Mario
P
P
Farsetti
D000328:Adult; D002370:Casts, Surgical; D003025:Clubfoot / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy*; D005260:Female; D005528:Foot / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D011859:Radiography