Pathological anatomy of club foot and the effect of different methods of treatment

Abstract

A study using CT was done to investigate how treatment may modify the basic skeletal pathology of clubfoot for two groups of patients treated by two different protocols. The first group was treated by manipulation, application of toe-to-groin plaster casts and an extensive posteromedial release, the second group was treated by the Ponseti manipulation technique, application toe-to-groin plaster casts and a limited posterior release. In conclusions, the long-term results of posteromedial release were disappointing and the proper manipulation technique is the most important for treatment of clubfoot.