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The Clubfoot pp 191-193 | Cite as

Nonoperative Management of the Equinovarus Foot: Long-Term Results

  • S. Zimbler

Abstract

The purpose of this study was to determine whether foot position and functional ability deteriorate over time in children treated nonoperatively for talipes equinovarus. Orthopedic teaching during the period 1950 to 1970 stressed the importance of manipulation and proper application of corrective casts as the primary therapy for clubfoot deformity.1 Surgical management was initially presented as a “fall-back” position when cast treatment failed. Poor plaster technique or delayed onset of treatment were frequently presented as causes for poor results and incomplete correction.1 Modern clubfoot treatment (1970–1990)2 has emphasized extensive surgical releases and new incisions. Follow-up of these patients reveals some of the same old problems seen with the older surgical procedures: (a) stiffness, (b) muscle atrophy, (c) extensive scarring, (d) recurrent deformity, (e) incomplete correction, and (f) overcorrection.

Keywords

Nonoperative Management Ankle Dorsiflexion Recreational Sport Ankle Plantar Flexion Congenital Clubfoot 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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Copyright information

© Springer-Verlag New York, Inc. 1994

Authors and Affiliations

  • S. Zimbler

There are no affiliations available

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