Abstract
We evaluated the long-term results of 20 patients (29 feet) with congenital club foot who underwent posterior release (PR) in our hospital.
They were classified into two groups according to further treatment. Group I included patients that required subsequent posteromedial release or medial release and group II included patients who received only early posterior release. They were evaluated radiographically according to the T-C index and talo-1st metatarsal angle (TMA) and clinically according to the McKay's evaluation. The mean TC index of group I was higher than group II after an additional operation. The mean TMA of group I was lower than group II after the additional operation. Nine feet were clinically graded as satisfactory (excellent or good) and 20 feet as unsatisfactory (fair or good) at the time of the most recent follow-up. We were not satisfied with their clinical results. In conclusion, we recommend complete subtalar release for congenital club feet.
