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The Journal of Bone and Joint Surgery 78:1625-6 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

J. Leonard Goldner, M.D., Douglas M. Cooper, M.D. and Frederick R. Dietz, M.D.

TO THE EDITOR:

In "Treatment of Idiopathic Clubfoot. A Thirty-Year Follow-up Note" (77-A: 1477-1489, Oct. 1995), Cooper and Dietz indicated that thirty-five (78 per cent) of the forty-five patients studied had an excellent or good outcome after treatment with the regimen described. None of these patients had had a complete or partial subtalar arthrotomy. The long-term results, measured primarily in terms of function and pain, were satisfactory. The authors' observation that an extensive subtalar arthrotomy was unnecessary in the treatment of feet with deformity of undefined severity has also been my experience in the true clubfeet that I have treated operatively. However, it may be concluded from their data that a more extensive operation, other than a heel-cord-lengthening and transfer of the anterior tibial tendon and an occasional plantar procedure, is unnecessary. This has not been my experience.

The 78 per cent rate of excellent or good results included feet . . . [Full Text of this Article]


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