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Journal of Bone and Joint Surgery, 1960;42:151-176.
© 1960 by The Journal of Bone and Joint Surgery, Inc

Plantar Dissection

An Operation to Release the Soft Tissues in Recurrent or Recalcitrant Talipes Equinovarus

Frederic C. Bost M.D.1, Edwin R. Schottstaedt M.D.1, and Loren J. Larsen M.D.1

1 Shriners' Hospitals for Crippled Children, San Francisco Unit, San Francisco

Plantar dissection, a radical surgical attack on the deformity of talipes equinovarus, has been described, and the results obtained by operation on seventy feet of fifty-one patients have been reported.

The indication for this operation is recurrent or recalcitrant talipes eqinovarus. Of the seventy procedures performed, forty-five (64 per cent) resulted in satisfactory correction of the deformity, and the outcome in twenty-five (36 per cent) was unsatisfactory. Of these twenty-five operations, seventeen included triple arthrodesis (70 per cent of the total unsatisfactory results).

Some of the technical details leading to an overcorrection of the deformity have been emphasized, and our opinion regarding plantar dissection has been included in the discussion.


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