The Clubfoot pp 114-116 | Cite as

Functional Rating System for Evaluation of Long-Term Results of Clubfoot Surgery

  • W. B. Lehman
  • D. Atar
  • A. D. Grant
  • A. M. Strongwater
Conference paper


The current concept of treatment for clubfoot deformity is initial manipulations and serial cast applications; when these are inadequate, surgery is required.6 About 30% to 50% of these feet will not be corrected and will require surgical release.7,11,12,20,25,27 An average of 25% of the operated feet will have poor results and will need additional surgical intervention.8,9,15,28 What are the criteria for good results or failure? We have designed a simple and objective rating system by which failures as well as good results can be easily defined.


Shoe Folk Clubfoot 


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  1. 1.
    Atar, D., Lehman, W.B., Grant, A.D., Strongwater, A.: Revision surgery in clubfeet. Clin. Orthop., in press, 1990.Google Scholar
  2. 2.
    Attenborough, C.G.: Early posterior soft tissue release in severe congenital talipes equinovarus. Clin. Orthop., 84:71, 1972.PubMedCrossRefGoogle Scholar
  3. 3.
    Bensahel, H., Csukonyi, C., Desgrippes, Y.: Surgery in residual clubfoot: one stage posteromedial release “a la carte.” J. Pediatr. Orthop., 7:145–148, 1987.PubMedCrossRefGoogle Scholar
  4. 4.
    Bethem, D., Weiner, D.: Radical one stage postero-medial release for the resistant clubfoot. Clin. Orthop., 131:214–233, 1978.PubMedGoogle Scholar
  5. 5.
    Bleck, E.E.: Congenital clubfeet. Pathomechanics, radiographic analysis and results of surgical treatment. Clin. Orthop., 125:119–130, 1977.PubMedGoogle Scholar
  6. 6.
    Cummings, J., Lovell, W.W.: Current concept review. Operative treatment of congenital idiopathic clubfoot. J. Bone Joint Surg., 70-A:1108–1112, 1988.Google Scholar
  7. 7.
    Franke, J., Hein, G.: Our experience with the early treatment of congenital clubfoot. J. Pediatr. Orthop., 8:26–30, 1988.PubMedCrossRefGoogle Scholar
  8. 8.
    Hutchins, P.M., Foster, B.K., Paterson, D.C., Cole, E.A.: Long term results of early surgical release in clubfeet. J. Bone Joint Surg., 67-B:791–799, 1985.Google Scholar
  9. 9.
    Kumar, K.: The role of footprints in the management of clubfeet. Clin. Orthop., 140:32–36, 1979.PubMedGoogle Scholar
  10. 10.
    Laaveg, S.J., Ponseti, I.V.: Long term results of treatment of congenital clubfoot. J. Bone Joint Surg., 62-A:23–31, 1980.Google Scholar
  11. 11.
    Lehman, W.B.: The clubfoot. Philadelphia: J.B. Lippincott, 1980.Google Scholar
  12. 12.
    Lloyd-Roberts, G.C.: Orthopaedics in infancy and childhood. London: Butterworth, 1971.Google Scholar
  13. 13.
    Main, B.J., Crider, R.J., Folk, M., Lloyd-Roberts, G.C., Swann, M.: The results of early operation in talipes equino varus. J. Bone Joint Surg., 59-B:337–341, 1977.Google Scholar
  14. 14.
    McCauley, J.C.J.: Treatment of clubfoot. AAOS Instr. Course Lect. 16:93–99, 1959.Google Scholar
  15. 15.
    McKay, D.W.: New concepts of and approach to clubfoot treatment. Section III—evaluation and results. J. Pediatr. Orthop., 3:141–148, 1983.PubMedCrossRefGoogle Scholar
  16. 16.
    Otremski, I., Salama, R., Kermosh, O., Weintraub, S.: An analysis of the results of modified one stage posteromedial release (Turco operation) for the treatment of clubfeet. J. Pediatr. Orthop., 7:149–150, 1987.PubMedCrossRefGoogle Scholar
  17. 17.
    Pous, J.G., Dimeglio, A.: Neonatal surgery in clubfoot. Orthop. Clin. North Am., 9:233–240, 1978.PubMedGoogle Scholar
  18. 18.
    Reimann, I., Becker-Anderson, H.: Early surgical treatment of congenital clubfoot. Clin. Orthop., 65:32–35, 1974.Google Scholar
  19. 19.
    Ryoppy, S., Sairanen, H.: Neonatal operative treatment of clubfoot. J. Bone Joint Surg., 65-B:320–325, 1983.Google Scholar
  20. 20.
    Shaw, N.W.: Clubfoot comparison of three methods of treatment. Br. Med. J., 1:1084, 1964.CrossRefGoogle Scholar
  21. 21.
    Simons, G.W.: Complete subtalar release in clubfeet. Part II—comparison with less extensive procedures. J. Bone Joint Surg., 67-A:1056–1065, 1985.Google Scholar
  22. 22.
    Somppi, E., Sulamaa, M.: Early treatment of congenital clubfoot. Acta Orthop. Scand., 42:513–520, 1971.PubMedCrossRefGoogle Scholar
  23. 23.
    Tayton, K. Thompson, P.: Relapsing clubfeet— late results of delayed operation. J. Bone Joint Surg., 61-B:474–480, 1979.Google Scholar
  24. 24.
    Thompson, G.H., Richardson, A.B., Westin, G.W.: Surgical management of resistant congenital talipes equinovarus deformities. J. Bone Joint Surg., 64-A:652–665, 1982.Google Scholar
  25. 25.
    Turco, V.J.: Surgical correction of the resistant clubfoot. J. Bone Joint Surg., 53-A:477–497, 1971.Google Scholar
  26. 26.
    Turco, V.J.: Resistant congenital clubfoot, one stage posteromedial release with internal fixation. A follow-up report of a fifteen year experience. J. Bone Joint Surg., 61-A:805–814, 1979.Google Scholar
  27. 27.
    Wynne-Davis, R.: Talipes equinovarus, a review of eighty-four cases after completion of treatment. J. Bone Joint Surg., 46-B:464–476, 1964.Google Scholar
  28. 28.
    Yamamoto, H., Furuya, K.: One stage posteromedial release of congenital clubfoot. J. Pediatr. Orthop., 8:590–595, 1988.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 1994

Authors and Affiliations

  • W. B. Lehman
  • D. Atar
  • A. D. Grant
  • A. M. Strongwater

There are no affiliations available

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