[Surgical treatment of congenital clubfoot in children]

The paper is based on the author's personal experience in the surgical treatment of 438 patients with congenital club foot aged from 9 months to 9 years. Peritalar ligamentocapsulotomy according to the author's method gave good long-term results in 82.64% of the children, satisfactory results in 12.83% and not satisfactory results in 4.53% of the patients. The results were studied within 2 to 20 years after the operation and evaluated according to the clinicoroentgenologic findings. Distinguished among the causes of the recurrences have been violations of the orthopaedic regime, reduction in the function of the extensor muscles and pronators and disturbances in the development of the bones of the medial part of the foot. Dissection of the plantar aponeurosis was not performed in any patient. Dislocation of the tendon attachment area on the foot may be advised for the children threatened by a recurrence of club foot of the anterior part of the foot and in passive complete correction of the foot.