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Transactions of the Eleventh Annual Meeting of the American Orthopaedic Foot Society, Inc.

The results of a comprehensive talipes equinovarus release on 16 patients with 20 idiopathic clubfoot deformity were analyzed with an eighteen month followup. Our conclusions were that each component of the clubfoot can be managed in a single stage operative procedure without any conflicting risk to the patient. Bilateral surgery could be done at the same sitting. Dorsiflexion was difficult to achieve because of the anatomical deformity of the talus. Fixation after comprehensive release with K-wires is important in maintaining the reduction and no patient had a return of the deformity after satisfactory correction at the time of surgery. The complications were over-correction of hind foot valgus, loss of the longitudinal arch by plantar fascia and spring ligament release and complete transfer of anterior tibialis.