Subcutaneous Operations for Club-Foot: Result of Treatment after Some Years

The treatment of congenital club foot.

An attempt has been made to assess the results of a method of treatment in 1 86 club feet in infants. The stimulus to study this problem came from the suggestion that insufficient knowledge was available to judge which of three early treatments was the best (Lloyd-Roberts 1964). It is hoped that this analysis may enable fact to replace supposition when the results of early treatment are discussed.

Treatment and prognosis in congenital club foot.

One hundred and twenty-nine unselected club feet were classified at birth into three grades of severity; 123 were followed up. The results of primary treatment were analysed and it is shown that the bad feet did worst. Serial splinting in plasters achieved lasting correction in nine in ten mild club feet, in half of the moderately deformed, but in only one in ten of the severely affected. Surgi...

Operation for calcaneus deformity after surgery for club foot.

We describe three patients who developed gross calcaneus deformity following surgery for talipes equinovarus. One also had an associated valgus deformity and another had supination of the forefoot; all had intractable problems with footwear. Operation for transfer of the tibialis anterior to the heel, with correction of the associated deformities, was successful and improved both their gait and...

The pulseless club foot.

Previous reports have suggested that the blood supply derived from the anterior tibial artery is absent or markedly diminished in 85% of severe, untreated club feet. To investigate these claims, we used a Doppler technique to study the arterial pulses in 40 children with 63 club feet. In feet with mild or moderate deformities the anterior tibial pulse was always present; in feet with severe def...

Congenital Club-Foot