Complex, atypical clubfoot: follow-up after up to 16 years reveals a high risk of relapse but good functional and radiological outcomes.

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Abstract

[Indexed for MEDLINE] 15. Rev Bras Ortop (Sao Paulo). 2024 Dec 21;59(6):e821-e829. doi: 10.1055/s-0044-1787769. eCollection 2024 Dec. Review Article: Current Concepts in the Treatment of Congenital Clubfoot. Nogueira F(1), Poggiali P(1). Author information: (1)Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil. Congenital clubfoot is a complex, frequent deformity that can be challenging even in experienced hands. The Ponseti method remains universally accepted as the gold standard for treatment, and excellent outcomes are within expectations in most cases with appropriate technical management. Recurrences continue to be a problem and are mainly associated with non-compliance with orthosis use. However, other factors may influence the risk of recurrence and contribute to an unsatisfactory outcome. Tibialis anterior transfer balances deforming forces and helps correction as long as the foot is flexible. A recurred deformity is not corrected spontaneously, it requires treatment. Adjuvant surgical procedures should be part of the orthopedist's therapeutic arsenal. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( https://creativecommons.org/licenses/by/4.0/ ). DOI: 10.1055/s-0044-1787769 PMCID: PMC11663064