Fixed forefoot adduction after clubfoot surgery.
OBJECTIVE
Studying the causes of residual forefoot adduction deformity after surgical treatment of congenital clubfoot and their management.


METHODS
Revision surgery was carried out by the author for 12 patients (13 feet) in King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period between January 1997 to December 1998.


RESULTS
In 12 out of 13 feet, K-wire was not used to fix the navicular bone in its reduced position during primary surgery. In all cases, the navicular was found displaced during revision surgery.


CONCLUSIONS
Revision of soft tissue surgery with relocation of the navicular bone improves the outcome of patients with residual fixed forefoot adduction after congenital talipes equinovarus surgery.
Kremli
Mamoun K
MK
Department of Orthopedics, College of Medicine, King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia. mkremli@ksu.edu.sa
D003025:Clubfoot / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012086:Reoperation; D016896:Treatment Outcome