Ponseti I: Long-term results of treatment of congenital club foot

ABSTRACT: In seventy patients with 104 club feet that were treated at our hospital and followed for ten to twenty-seven years after treatment, the functional re-suits were satisfactory according to our rating system in 88.5 per cent of the feet, and 90 per cent of the pa-tients were satisfied with both the appearance and function of the club foot. However, in the majority of the patients, foot and ankle motion was limited and the talocalcaneal angles as seen on the anteroposterior and lateral roentgenograms were not fully corrected. The amount of motion in the joints of the foot and ankle and the correction of the lateral talocalcaneal angle corre-lated with the degree of patient satisfaction and the functional rating of the club foot. Transfer of the an-tenor tibial tendon to the third cuneiform appeared t