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Related Experiment Videos

Posterolateral release for resistant club foot

I Hudson1, A Catterall

  • 1Royal National Orthopaedic Hospital, Stanmore and Charing Cross Hospital, London, England.

The Journal of Bone and Joint Surgery. British Volume
|March 1, 1994
PubMed
Summary

Posterolateral release alone effectively treats idiopathic clubfoot in infants, with most patients showing good long-term function and appearance. However, a significant reoperation rate suggests careful patient selection is crucial for this clubfoot treatment.

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Area of Science:

  • Pediatric Orthopedics
  • Surgical Techniques
  • Congenital Foot Deformities

Background:

  • Idiopathic clubfoot is a common congenital foot deformity in infants.
  • Posterolateral release is a surgical technique used to correct clubfoot.
  • The long-term efficacy of posterolateral release alone requires further investigation.

Purpose of the Study:

  • To evaluate the long-term functional and aesthetic outcomes of idiopathic club feet treated with posterolateral release alone.
  • To determine the reoperation rate and identify factors associated with unsatisfactory results.

Main Methods:

  • A cohort of 37 infants (53 idiopathic club feet) underwent posterolateral release at a mean age of 2.4 months.
  • Patients were followed for a mean of 10 years and 7 months, with assessment of function and appearance.

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  • Data collected included ankle dorsiflexion, subtalar joint motion, and need for further surgical intervention.

    • Main Results:

    • Excellent correction of hindfoot equinus was achieved in all cases, with mean ankle dorsiflexion of 15 degrees.
    • Subtalar joint motion was 50-75% of normal in most feet.
    • Seventeen feet (32%) required further surgery, with poor results in four feet.

    Conclusions:

    • Posterolateral release alone can provide satisfactory long-term results for idiopathic club feet.
    • A significant reoperation rate (32%) suggests that a radical release is not universally necessary.
    • Careful patient selection may optimize outcomes and minimize the need for revision surgery in clubfoot management.