Surgical correction of congenital vertical talus under the age of 2 years

Seven patients (10 feet) with true congenital vertical talus are described. The suggested pathomechanics of the condition correlated well with the rationale of surgical treatment. Correction of both forefoot and hindfoot deformities is necessary. Follow-up averaged 5.2 years. Cosmetic correction was excellent in seven of the 10 feet and good in the remaining three. These results indicate that there is no need for surgery to be performed in two stages and that it is not necessary for procedures to be as extensive as has been suggested in the literature.