ABSTRACT
The results of surgical treatment of true clubfoot by modified posteromedial release were analysed. Each foot was evaluated according to Turco and Imhauser evaluation. Material and Methods : There were 69 patients, 47 boys and 22 girls. The patients age ranged from 3 months to 4 years. The bilateral involvement was in 32 patients. There were totally 101 feet to be operated after failure of casting with average 15.52 months follow up. Results : The good and excellent results by Turco and Imhauser evaluation after second operation were 89.11%. There were 3 cases (6 feet) who got second operation because of incomplete correction. The superficial wound infection rate was 5.94% but resolved completely without changing the outcomes. The comparison between sex, side, age had no statistical significant difference (P > 0.05). There was high correlation between Turco and Imhauser score (r = 0.861, 0.854 for left and right foot). Conclusion : The modified posteromedial release can be used as the treatment of choice for the children with true clubfoot and failure of conservative treatment.