Talipes equinovarus (clubfoot) is a skeletal anomaly of the embryo's legs, with a frequency of 1-3:1000 living born babies. It may occur as an independent anomaly, or as part of a syndrome with concomitant chromosomal abnormalities.XYY syndrome is a quite rare sex chromosomal abnormality with 47, XYY karyotype. Prenatal diagnosis is usually accidental because the syndrome is not associated with...

The Ponseti method is a safe and effective treatment for congenital clubfoot, and radically decreases the need for extensive corrective surgery. But a group of patients will still present with under corrected residual equinovarus deformities despite the proper use of the Ponseti method. About 25% of operated clubfeet will develop recurrence or show a marked residual deformity (recurrent clubfoo...

A dorsal bunion, also known as hallux flexus, is a deformity where the 1st metatarsal is in a dorsiflexed position and the proximal phalanx of the hallux is in a plantarflexed position usually articulating with the plantar aspect of the 1st metatarsal head. Multiple etiologies exist for this condition; the one most evaluated has been the occurrence of hallux flexus following clubfoot surgery. T...

Although clubfoot (Congenital talipesequinovarus) is one of the most common congenital abnormalities affecting the lower limb with an incidence of one to two per 1000 live births, it remains a challenge not only to understand its genetic origins but also to provide effective longterm treatment. Its etiology remains aconundrum. It is increasingly being diagnosed on prenatal ultrasound with impli...

We reviewed the results of a selective à la carte soft-tissue release operation for recurrent or residual deformity after initial conservative treatment for idiopathic clubfoot by the Ponseti method. Recurrent or residual deformity occurred in 13 (19 feet) of 33 patients (48 feet; 40%). The mean age at surgery was 2.3 years (1.3 to 4) and the mean follow-up was 3.6 years (2 to 5.3). The mean Pi...

Introduction: Clubfoot is a common congenital deformity. Neglected clubfeet are not uncommon in the developing world where many children are brought late for initiation of treatment. The response to conservative treatment may not be adequate so as to achieve correction of deformity in all cases. Hence, some of these cases may require surgical treatment for correction of deformity. International...

Introduction; Treatment of club foot is still a clinical challenge. The literature on clubfoot as a general rule, that of unvarying success. The increased failure rates among conservative management has lead to various surgical interventions. A recent study of clubfoot surgeries have come up with a high proportion of unsatisfactory results. The work of Illizarov showed encouraging results witho...

Despite common occurrence, congenital talipes equinovarus (clubfoot) is still a subject of controversy. It poses a significant problem with its unpredictable outcome, especially when the presentation for treatment is late. The true etiology remains unknown although many theories have been put forward. A standard management scheme is difficult as there is no uniformity in the pathoanatomy, class...

This biographical sketch of Ignacio V. Ponseti, MD, corresponds to the historic text, The Classic: Congenital Club Foot: The Results of Treatment, available at DOI 10.1007/s11999-009-0720-2 and The Classic: Observations on Pathogenesis and Treatment of Congenital Clubfoot, available at DOI 10.1007/s11999-009-0721-1.