During my early orthopaedic training, between 1936 and 1939, I failed to appreciate the full horror ofbone and joint tuberculosis, with its protracted treatment and crippling results; I encountered several cases during the war, but it was not until I became superintendent of the Derby County Tuberculosis and Orthopaedic Service in 1947 that this was borne in on me. The Orthopaedic Hospital at B...

Rocker bottom deformity may occur during the conservative treatment of idiopathic congenital clubfoot. Between 1975 and 1996, we treated 715 patients (1120 clubfeet) conservatively. A total of 23 patients (36 feet; 3.2%) developed a rocker bottom deformity. It is these patients that we have studied. The pathoanatomy of the rocker bottom deformity is characterised by a plantar convexity appearin...

OBJECTIVE The objective of this study was to analyze and compare the effectiveness of two types of abduction orthotics used for the feet, the Denis-Browne type (traditional) and the Dobbs type (dynamic), with regard to maintenance of deformity correction and prevention of recurrence . METHOD In this comparative retrospective case study, information was collected from the medical records of ch...

C ongenital contractures can be divided into two groups: isolated contractures and multiple contractures (Fig. 1). Isolated congenital contractures affect only a single area of the body; the most common isolated contracture is congenital clubfoot, which occurs in one of every 500 live births. The term arthrogryposis is often used as shorthand to describe multiple congenital contractures that af...

Congenital talipes equinovarus, more commonly known as clubfoot, is a idiopathic congenital birth defect that affects in 1 in 1000 births. 1 The most widely used and well known treatment is the Ponseti method commonly followed by an Achilles tenotomy. This method is effective on roughly 90% of all cases. The severity of this idiopathic birth defect can be scored using a few different methods. T...