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Duke Orthopaedics
presents
Wheeless' Textbook of Orthopaedics

Club Foot: Combined Soft-Tissue and Bone Procedures



- Discussion:
    - posteromedial release may not fully correct a resistant deformity;
            - w/ severe deformity, consider osteotomy of the distal part of calcaneus combined with a plantar fasciotomy in addition to the 
                   posteromedial release;
    - medial opening-wedge osteotomy of calcaneus and the insertion of a wedge of bone;
    - osteotomy of the calcaneus is laterally and dorsally based closing-wedge resection of the distal part of the calcaneus, avoiding both 
            calcaneocuboid and subtalar joints



Operation for calcaneus deformity after surgery for club foot.

Dwyer osteotomy for treatment of calcaneal varus.

Tarsometatarsal truncated-wedge arthrodesis for pes cavus and equinovarus deformity of the fore part of the foot.

Osteotomy of the first cuneiform as treatment of residual adduction of the fore part of the foot in club foot.

Shortening of the first metatarsal as a complication of metatarsal osteotomies.

Dillwyn Evans operation for relapsed club foot. Long-term results.

Pes cavovarus. Review of a surgical approach using selective soft-tissue procedures.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, May 15, 2012 1:21 pm