Early Treatment and Aftercare of Congenital Clubfoot Experienced in Our Clinic

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We have treated some eariy cases of the congenital clubfoot in our clubfoot clinic during one and helf years, since biginning of 1970.In this paper we will report some problems observed in 8 feet.At first, in every feet, adduction and varus deformities were corrected by cast-correction.After the correction of these deformities, in 6 cases, equinus deformities were corrected by posterior release operation. In two foot, equinus deformities were corrected by cast only, after Kite-method.The night splints were used for the post operative treatment, and timely corrective casts were applied.In every cases, three kind of deformities were corrected satisfactorily but we had two problems during our treatments.One is the adduction and varus deformity in midtarsal and subtalar joints.The cause of these deformities is abnormal relation between tarsal and metatarsal bones. We think the correction of abnormal relation will be possible by cast only but correction should be done completely, or, relapse of adduction and varus deformities will occur.The other is the equinus deformty in ankle. Cause of this deformity is the shortening in posterior talo-fibular ligament at ankle as well as Achilles tendon.So, we think posterior release operation should be performed at every cases.
西日本整形・災害外科学会の論文