Revision surgery in clubfeet

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Atar-D. Lehman-W-B. Grant-A-D. Strongwater-A-M. Hospital for Joint Diseases Orthopedic Institute, New York, New York Clin-Orthop. 1992 Oct. (283). P 223-30. The reoperated clubfeet of 29 children aged one to 12 years were reviewed. The surgical procedure most often used in revision surgery was recomplete soft-tissue release alone or combined with plantar release, calcaneocuboid fusion, and capsulotomies of the navicular-first cuneiform-first metatarsal joint. In 27 of 29 feet, acceptable results were achieved. Nineteen were excellent and good results. An algorithm that suggests surgical solutions to a variety of clubfoot deformities in different age groups has been developed, as well as an objective rating system, to evaluate the long-term results of revision surgery of clubfeet. Author-abstract.