Late Effects of Clubfoot Deformity in Adolescent and Young Adult Patients Whose Initial Treatment Was an Extensive Soft-tissue Release: Topic Review and Clinical Case Series

Jeffrey E. Johnson, Thomas A. Fortney, Pamela C. Luk, Sandra E. Klein, Jeremy J. McCormick, Matthew B. Dobbs, J. Eric Gordon, Perry L. Schoenecker

Research output: Contribution to journalArticlepeer-review

Abstract

Children with congenital clubfoot often have residual deformity, pain, and limited function in adolescence and young adulthood. These patients represent a heterogeneous group that often requires an individualized management strategy. This article reviews the available literature on this topic while proposing a descriptive classification system based on a review of patients at our institution who underwent surgery for problems related to previous clubfoot deformity during the period between January 1999 and January 2012. Seventy-two patients (93 feet) underwent surgical treatment for the late effects of clubfoot deformity at an average age of 13 years (range 9 to 19 years). All patients had been treated at a young age with serial casting, and most had at least one previous surgery on the affected foot or feet. Five common patterns of pathology identified were as follows: undercorrection, overcorrection, dorsal bunion, anterior ankle impingement, and lateral hindfoot impingement. Management pathways for each group of the presenting problems is described. To our knowledge, this topic review represents the largest report of adolescent and young adult patients with residual clubfoot deformity in the literature.

Original languageEnglish
Article numbere19.00126
JournalJournal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Volume4
Issue number5
DOIs
StatePublished - 2020

Fingerprint Dive into the research topics of 'Late Effects of Clubfoot Deformity in Adolescent and Young Adult Patients Whose Initial Treatment Was an Extensive Soft-tissue Release: Topic Review and Clinical Case Series'. Together they form a unique fingerprint.

Cite this