Residual forefoot deformity predicts the need for future surgery in clubfeet treated by Ponseti casting.

Hosseinzadeh, Pooya; Peterson, Erik D; Walker, Janet; Muchow, Ryan D; Iwinski, Henry J; Talwalkar, Vishwas R; Milbrandt, Todd A · J Pediatr Orthop B · 2016

retrospective_cohort · Level III

Where this comes from

Abstract

Tibialis anterior tendon transfer (TATT) is performed for treatment of recurrent clubfeet. We investigated the predictability of residual adductus on the future need for TATT. A retrospective review of 143 patients with clubfoot was performed. The patients were divided into two groups: group 1 with a history of TATT and group 2 with no TATT. Heel-forefoot angle (HFA) was measured. HFA was compared between the groups. HFA was significantly different between groups 1 and 2. Residual adductus deformity in clubfeet treated by Ponseti casting is a risk factor for future need for surgical treatment.

Medical subject headings

Anatomy