The need for biomechanical evaluation in the assessment of clubfoot

Clubfoot is a complex deformity found in one in a thousand children. It frequently causes disability - either from the original deformity or because of secondary conditions and problems associated with treatment. The management remains varied and controversial. Currently, mixtures of different methods are used to assess the severity of the deformity. However, none is ideal. Biomechanical assessment involves the evaluation of forces and motion of the musculoskeletal system and includes the analysis of foot pressure distribution and gait parameters. The aim of this article is to discuss the various assessment techniques available and demonstrate the need for, and advantages of, biomechanical assessment