Long-term follow-up of the surgically corrected clubfoot.
We describe a 17-year follow-up of 44 surgically corrected clubfeet. They were classified preoperatively as mild, moderate or severe and grouped into those operated on before or after 3 months of age. Moderate and severe deformities underwent a posteromedial release after a trial of conservative management. The mean Ponseti score for both groups was 83.9 (good). Severely deformed feet achieved a more favourable result when operated upon before 3 months than those operated later. We conclude that early application of surgery yields better results with severely deformed feet and produces a good functional outcome in the majority of feet.
Edmondson
Mark C
MC
Department of Orthopaedics, Kent and Sussex Hospital, Tunbridge Wells, Kent, UK. drmedmondson@hotmail.com
Oliver
Matthew C
MC
Slack
Richard
R
Tuson
Kenneth W
KW
D000367:Age Factors; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D013997:Time Factors