Review Question - QID 3245

Traditional surgical treatment of clubfoot deformity with wide release (in order to correct the cavus, adduction, varus, equinus) is notable for frequent complications, residual deformity, and secondary surgeries. Tarsal tunnel has not been correlated with previous clubfoot release surgery. Each of the remaining choices are known complications or deformities following clubfoot surgery. Yong et al reviewed 33 cases of deformity following previous clubfoot surgery. Reverse Jones procedure was performed in conjunction with other procedures to fix the first metatarsophalangeal plantarflexion deformity. They reported improvement in pain, activity, footwear, range of motion, callus, and alignment amongst this cohort. Kuo et al reviewed 134 cases of clubfeet who underwent surgical release. 16% went on to have secondary surgery. Late deformities included intoeing gait, overcorrection, rotatory dorsal subluxation of the navicular, vascular insult to the talus with collapse, and dorsal bunion. Patients who underwent surgery prior to 6 months of age had poorer results.