A novel surgical option for the operative treatment of clubfoot.

Published online: Apr 27 2004

Papavasiliou VA, Papavasiliou AV.

Paediatric Orthopaedic Department, 2nd Orthopaedic Clinic, Aristotle University of Thessaloniki, Greece


Clubfoot (talipes equinovarus) is a condition well known since the time of Hippocrates. Numerous conservative treatments have been introduced for this condition; few are still in favour. Conservative treatment was used in our department up to the third month of age. The indication for surgery was failure to correct or maintain the correction after conservative treatment. We report on 134 children (206 feet) who had operative treatment for clubfoot in our department during the period 1990-1996, using a novel surgical technique based on extensive posteromedial release combined with the lateral spread of the "extensor forces" of the foot. This new technique has produced excellent results.