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Journal of Bone and Joint Surgery, 1973;55:1385-1395.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Surgical Correction of Neglected Club Foot in the Older Child and Adult

HENRY ZVI HEROLD M.D.1 and GABRIEL TOROK M.D.1

1 From the Departments of Orthopaedic Surgery, Ashkelon Government Hospital, Ashkelon, and The Negev Central Hospital, Beersheba

A two-staged operation is recommended, with medial release, resection of the abductor hallucis, section of the posterior tibial tendon, and lengthening of the Achilles tendon as the first stage. The second stage, triple arthrodesis, if necessary, follows further correction of the foot by plaster casts. Supplemental operations, for example derotation osteotomy of the tibia and metatarsal osteotomy, also were done. Forty-four cases were so treated. Cosmetic results were excellent in all but one, and functional results also were good.


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