title: Acute correction of severe neglected club feet using a circumferential incision.
abstract: Severe neglected club feet in older children are a problem frequently seen in less privileged countries. Gradual correction using external fixation is a reliable method but needs sufficient infrastructure and professional supervision for follow-up. Acute corrections may be justified if such infrastructure is not available and a single stage solution is needed. A circumferential fasciocutaneous flap has been developed to allow skin coverage for acute corrections, which has been used besides a modification of other flaps used in correction of severe club feet.
authors.affiliation: Orthopäedic Kllinik, Luzern, AG, Switzerland.
authors.forename: Christian
authors.initials: C
authors.lastname: Reize
authors.forename: G
authors.initials: G
authors.lastname: Ulrich Exner
mesh_terms: D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D012008:Recurrence; D012720:Severity of Illness Index; D013524:Surgical Flaps