, Volume 471, Issue 8, pp 2666-2667
Date: 13 Jun 2013

CORR Insights®: Can Selective Soft Tissue Release and Cuboid Osteotomy Correct Neglected Clubfoot?

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Where Are We Now?

Congenital clubfoot deformity is a worldwide health problem among musculoskeletal disabilities. The surgical rate for congenital clubfoot is falling because of the efficacy of the Ponseti and French method of treatments. However, the neglected clubfoot remains a problem in resource-poor regions. Despite several international projects in Africa championing early management via Ponseti method, neglected clubfoot continues to be the treatment dilemma in obtaining better functional outcomes.

Using the Ponseti method as an initial approach to treatment, followed by more-limited corrective surgery as needed is certainly a management option for neglected clubfoot. External fixation devices, such as Ilizarov frame or Taylor spatial frame have obtained some popularity. These techniques imply slow distraction and gradual correction. Some orthopaedic surgeons apply Ponseti principles in gradual correction within the external fixation frames. These types of management also depend o ...

This CORR Insights® is a commentary on the article “Can Selective Soft Tissue Release and Cuboid Osteotomy Correct Neglected Clubfoot?” by Faldini and colleagues available at: DOI: 10.1007/s11999-013-2977-8.
The author certifies that he, or a member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request.
The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR ® or the Association of Bone and Joint Surgeons®.
This CORR Insights® comment refers to the article available at DOI: 10.1007/s11999-013-2977-8.
This comment refers to the article available at: http://dx.doi.org/10.1007/s11999-013-2977-8.