title: Residual forefoot deformity predicts the need for future surgery in clubfeet treated by Ponseti casting.
abstract: Tibialis anterior tendon transfer (TATT) is performed for treatment of recurrent clubfeet. We investigated the predictability of residual adductus on the future need for TATT. A retrospective review of 143 patients with clubfoot was performed. The patients were divided into two groups: group 1 with a history of TATT and group 2 with no TATT. Heel-forefoot angle (HFA) was measured. HFA was compared between the groups. HFA was significantly different between groups 1 and 2. Residual adductus deformity in clubfeet treated by Ponseti casting is a risk factor for future need for surgical treatment.
authors.affiliation: Shriners Hospital for Children, Lexington, Kentucky, USA.
authors.forename: Pooya
authors.initials: P
authors.lastname: Hosseinzadeh
authors.forename: Erik D
authors.initials: ED
authors.lastname: Peterson
authors.forename: Janet
authors.initials: J
authors.lastname: Walker
authors.forename: Ryan D
authors.initials: RD
authors.lastname: Muchow
authors.forename: Henry J
authors.initials: HJ
authors.lastname: Iwinski
authors.forename: Vishwas R
authors.initials: VR
authors.lastname: Talwalkar
authors.forename: Todd A
authors.initials: TA
authors.lastname: Milbrandt
mesh_terms: D002370:Casts, Surgical; D002675:Child, Preschool; D003025:Clubfoot / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D005545:Forefoot, Human / Q000033:anatomy & histology; D006365:Heel / Q000033:anatomy & histology; D006801:Humans; D007223:Infant; D008297:Male; D008349:Manipulation, Orthopedic; D011312:Pressure; D012044:Regression Analysis; D019233:Retreatment; D012189:Retrospective Studies; D013709:Tendon Transfer