Clubfoot: Early Surgery - Peter Thompson 14/8/2001

Authors

S Wientroub and O Khermosh

Title

Comparative Evaluation of Initial Surgical Procedures in Club

Reference

Journal of Paediatric Orthopaedics Part B 1994 Vol.3 No.2 171-179

Summary

Initial surgery should be a type of soft tissue release addressing all aspects of the deformity as a 1-stage procedure but only after unsuccessful careful conservative Rx. Intraoperative XR essential to prevent over correction.

Critique

Well-referenced review article covering most aspects of initial club foot surgery including description of different releases.

Authors

Vincent Turco

Title

Resistant Congenital Club Foot – One-stage Posteromedial Release with Internal Fixation

Reference

JBJS 1979 Vol. 61A No.6 805-814

Summary

Turco’s experience of his procedure over 15yrs. 149 feet (age 6 months- 8yrs) with follow-up of 2-15yrs evaluated radiographically + clinically. 88% good/excellent results with 5% failure rate. Over-correction identified as a problem. History of previous surgery gave worse results.

Critique

Retrospective analysis of own work but classic paper and success rates confirmed by others.