Assessment in congenital talipes equinovarus

We have examined the intra- and interobserver repeatability of several measurements of the original deformity and the postoperative correction in children with congenital talipes equinovarus deformity. A neonatal photograph and a preoperative soft tissue radiograph had acceptable repeatability as a method of early assessment. The postoperative range of movement measured by goniometer was adequate for one examiner, (mean: 2-6 degrees), but poor between examiners (mean: 5-14 degrees). Postoperative radiographic measurement between observers was more repeatable than the range of movement. The combined talocalcaneal angle had good repeatability in young children.