title: Surgical treatment for myelodysplastic clubfoot.
abstract: OBJECTIVE
  To analyze the results from surgical treatment of 69 cases of clubfoot in 43 patients with myelodysplasia according to clinical and radiographic criteria, at our institution between 1984 and 2004.
  
  
  METHODS
  This was a retrospective study involving analysis of medical files, radiographs and consultations relating to patients who underwent surgical correction of clubfoot. The surgical technique consisted of radical posteromedial and lateral release with or without associated talectomy.
  
  
  RESULTS
  The patients' mean age at the time of the surgery was four years and two months, and the mean length of postoperative follow-up was seven years and two months. Satisfactory results were achieved in 73.9% of the feet and unsatisfactory results in 26.1% (p < 0.0001).
  
  
  CONCLUSIONS
  Residual deformity in the immediate postoperative period was associated with unsatisfactory results. Opening of the Kite (talocalcaneal) angle in feet that only underwent posteromedial and lateral release, along with appropriate positioning of the calcaneus in cases that underwent talectomy, was the radiographic parameter that correlated with satisfactory results.
authors.affiliation: Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brazil.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Zuccon
authors.affiliation: Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brazil.
authors.forename: Sérgio Inácio Cristiano
authors.initials: SI
authors.lastname: Cardoso
authors.affiliation: Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brazil.
authors.forename: Fábio Peluzo
authors.initials: FP
authors.lastname: Abreu
authors.affiliation: Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brazil.
authors.forename: Antonio Carlos
authors.initials: AC
authors.lastname: Fernandes
keywords: Acquired deformities of the foot; Clubfoot; Myelomeningocele