one stage operation to correct congenital vertical talus deformity

ABSTRACT

Seven patients diagnosed with rigid congenital vertical talus deformity were treated with a one stage posterior, medial and lateral release operation between June 1983 and August, 1987. Four of the patients had the deformity bilaterally for a total of eleven feet operated upon. The patients were between one and four years of age at the time of operation. The patients were followed-up for a period of three to seven years. A single incision was used to perform the necessary posterior, medial and lateral releases to reduce the talo-navicular joint. The peroneus muscle was transferred to the neck of the talus to maintain its reduced position. The results were that nine feet of the eleven operated upon maintained the reduction and were asymptomatic with normal foot development at follow-up