The Overcorrected Clubfoot in Children

Foot Ankle Clin. 2021 Dec;26(4):747-764. doi: 10.1016/j.fcl.2021.07.006. Epub 2021 Oct 14.

Abstract

Clubfoot overcorrection can develop gradually over years and is characterized in school age by hindfoot valgus position due to excessive rigid peritalar eversion, sometimes accompanied by supramalleolar valgus malalignment. Surgical treatment is recommended in severe cases and consists of bony realignment at the peritalar complex by osteotomy or fusion, correction of the supramalleolar valgus deformity in younger children by hemiepiphyseodesis, or osteotomy in adolescents. In addition, dorsal bunion requires stabilization of the medial tarsometatarsal ray and transfer of the tendons of Mm. tibialis anterior and flexor hallucis longus.

Keywords: Clubfoot; Dorsal bunion; Overcorrection; Pedography; Peritalar deformity; Rigid planovalgus deformity.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Clubfoot* / surgery
  • Foot
  • Humans
  • Osteotomy
  • Tendons