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The Journal of Bone and Joint Surgery, Vol 62, Issue 1 23-31, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
Long-term results of treatment of congenital club foot
SJ Laaveg and IV Ponseti
In seventy patients with 104 club feet that were treated at our hospital
and followed for ten to twenty-seven years after treatment, the functional
results were satisfactory according to our rating system in 88.5 per cent
of the feet, and 90 per cent of the patients were satisfied with both the
appearance and function of the club foot. However, in the majority of the
patients, foot and ankle motion was limited and the talocalcaneal angles as
seen on the anteroposterior and lateral roentgenograms were not fully
corrected. The amount of motion in the joints of the foot and ankle and the
correction of the lateral talocalcaneal angle correlated with the degree of
patient satisfaction and the functional rating of the club foot. Transfer
of the anterior tibial tendon to the third cuneiform appeared to prevent
relapse.
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