The Role of Talectomy in Managing Arthrogrypotic Clubfoot in Children: A Cases Series

This study examines the role of talectomy in the management of arthrogrypotic clubfoot in children, based on 26 cases collected over a 12-year period at Rabat Children's Hospital. The patients, with an average age of 2 years (SD ± 1.2), underwent talectomy as a primary or salvage procedure. The results showed that talectomy achieved a plantigrade, shoeable, and pain-free foot in 81% of cases (95% CI: 65.6%-96.4%), with a 19% recurrence rate (95% CI: 3.6%-34.4%). Multivariate analysis revealed that age at surgery (P = .032) and pre-operative Pirani score (P = .018) were significant predictors of outcome. This research suggests talectomy as a viable option for severe arthrogrypotic clubfoot, while highlighting the need for careful patient selection and close post-operative follow-up to optimize long-term outcomes.