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Posterolateral release for resistant club foot Hudson I; Catterall AJ Bone Joint Surg Br 1994[Mar]; 76 (2): 281-4We treated 37 infants with 53 idiopathic club feet by posterolateral release alone at a mean age of 2.4 months. They were reviewed after a mean follow-up of 10 years 7 months. Both function and appearance were studied. Seventeen feet had required further surgery, at an average of four years after posterolateral release. In all cases hindfoot equinus had been well corrected; the mean ankle dorsiflexion at review was 15 degrees. Most feet showed subtalar joint movement of between 50% and 75% of normal. Four feet showed poor results: one had a stiff subtalar joint, two feet in one child showed fixed forefoot varus, and one foot had required a Dillwyn-Evans operation at 5.5 years. The overall reoperation rate of 32% at ten years suggests that a radical release operation is not necessary in all patients. Of 59 patients who had only a simple posterolateral release 27 (46%) have satisfactory results.|Child, Preschool[MESH]|Clubfoot/*surgery[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Infant[MESH]|Reoperation[MESH]|Surgical Procedures, Operative/methods[MESH]|Tendons/surgery[MESH] |
