Late recurrence of clubfoot deformity: a 45-year followup.
Idiopathic clubfoot is one of the most common congenital deformities. Regardless of the mode of treatment, clubfoot has a tendency to relapse until the age of 5 years. Relapses are rare in patients after 5 years of age. A 45-year followup of a patient with idiopathic clubfoot treated as a newborn with the Ponseti method is reported. The patient had both clubfeet well-corrected as seen clinically and radiographically with this method. However, recurrent deformities developed bilaterally when the patient was 8 years old. Because of the late recurrence of this deformity, the patient had a thorough neurologic evaluation, which was normal. Treating physicians should be aware of the possibility of late recurrence in patients who have had complete correction of their clubfoot deformity.
Dobbs
Matthew B
MB
Washington University School of Medicine, Department of Orthopaedic Surgery, St. Louis, MO 63110, USA. mattdobbs@earthlink.net
Corley
Carey L
CL
Morcuende
Jose A
JA
Ponseti
Ignacio V
IV
D002370:Casts, Surgical; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011859:Radiography; D012008:Recurrence; D013165:Splints