The Clubfoot pp 208-209 | Cite as

A Comparative Result of Posteromedial Release Versus Posteromedial and Lateral Release for Idiopathic Talipes Equinovarus Using the Cincinnati Incision

  • K. N. Kuo
Conference paper


The surgical management of CTEV deformity has continued to evolve since Brockman1 first published his monograph on congenital clubfoot in 1930. In 1974, when I returned from my pediatric orthopedic fellowship under Lloyd-Roberts in London, I continued the quest for the betterment of clubfoot correction. My personal experience can be divided into my first 8 years of experience with posterior5 and posteromedial13 releases performed through a posteromedial straight line incision as advocated by Lloyd-Roberts,5 and my next 8 years of experience with posteromedial and lateral releases using the Cincinnati incision originally described by Giannestras,3 popularized by Crawford, et al.,2 and detailed by McKay6–8 and Simons.10–12


Lateral Release Peroneal Tendon Posterior Tibial Tendon Medial Rotation Idiopathic 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.


  1. 1.
    Brockman, E.R.: Congenital clubfoot, Bristol, England: John Wright, 1930.Google Scholar
  2. 2.
    Crawford, A.H., Marxen, J.L., Osterfeld, D.C.: The Cincinnati incision: a comprehensive approach for surgical procedures of the foot and ankle in children. J. Bone Joint Surg., 64-A: 1355–1358, 1982.Google Scholar
  3. 3.
    Giannestras, N: Foot disorders. Medical and surgical management, Philadelphia: Lea & Febiger, 1967.Google Scholar
  4. 4.
    Levin, M., Kuo, K.N., Harris, G.: Posterior medial release for clubfoot deformity: a long term follow-up. Clin. Orthop. Rel. Res., 242: 265. 1989.Google Scholar
  5. 5.
    Lloyd-Roberts, G.: Personal communication.Google Scholar
  6. 6.
    McKay, D.W.: New concept of and approach to clubfoot treatment. Section I. Principles and morbid anatomy. J. Pediatr. Orthop., 2:347, 1982.PubMedCrossRefGoogle Scholar
  7. 7.
    McKay, D.W.: New concept of and approach to clubfoot treatment. Section II. Correction of clubfoot. J. Pediatr. Orthop., 3:10–21, 1983.PubMedCrossRefGoogle Scholar
  8. 8.
    McKay, D.W.: New concept of and approach to clubfoot treatment. Section III. Evaluation and results. J. Pediatr. Orthop., 3:141, 1983.PubMedCrossRefGoogle Scholar
  9. 9.
    Simons, G.W.: Standardized method for the radiographic evaluation of the clubfoot. Clin. Orthop. Rel Res., 135:107, 1978.Google Scholar
  10. 10.
    Simons, G.W.: Cincinnati approach for complete subtalar release of clubfeet. J. Pediatr. Orthop., 2: 439, 1982.CrossRefGoogle Scholar
  11. 11.
    Simons, G.W.: Complete subtalar release in clubfeet. Part I. A preliminary report. J. Bone Joint Surg., 67-A: 1044, 1985.Google Scholar
  12. 12.
    Simons, G.W.: Complete subtalar release in clubfeet. Part II. Comparison with less extensive procedures. J. Bone Joint Surg., 67-A: 1056, 1985.Google Scholar
  13. 13.
    Turco, V.J.: Surgical correction of the resistant clubfoot. One stage posteromedial release with internal fixation: A preliminary report. J. Bone Joint Surg., 53-A: 477, 1971.Google Scholar

Copyright information

© Springer-Verlag New York, Inc. 1994

Authors and Affiliations

  • K. N. Kuo

There are no affiliations available

Personalised recommendations