J Korean Orthop Assoc.  2005 Dec;40(7):970-976.

The Outcomes of Surgical Treatment for Idiopathic Clubfoot

• Kim HT
• Cho JY
• Cheon SJ
• Yoo CI

Abstract

PURPOSE
We evaluated the efficacy of the different operative procedures for idiopathic congenital clubfoot. MATERIALS AND METHODS: Ninety-six feet in sixty-seven patients underwent surgical treatment. The average age of the patients at the time of surgery was 9 months (range, 2 to 18 months) and the mean followup period was 5 years (range, 2 to 9.7 years). Clinical evaluation both preoperatively (by the classification of Dimeglio et al.) and postoperatively (by the classification of Ezra et al.), and radiological assessment (AP and lateral weight-bearing views) of the feet were performed. RESULTS: Eighty-seven feet (83.1%) demonstrated excellent or good clinical results. The position of the heels with standing and subtalar motion were the assessment categories that demonstrated the least amount of improvement. All radiological indices were improved after surgery. CONCLUSION: The results suggest that the outcome of treatment for clubfoot is dependent largely on the degree of the initial deformity. Three-dimensional correction is important to achieve a satisfactory result.

Keyword

Clubfoot; Surgical treatment

MeSH Terms

Classification
Clubfoot*
Congenital Abnormalities
Follow-Up Studies
Foot
Heel
Humans
Surgical Procedures, Operative
Weight-Bearing