Evaluation of the Treatment of Idiopathic Clubfoot by Using Modified Method: A Prospective Study

A new modified combined method of management of talipes equinovarus was designed to overcome the complication of aggressive surgical techniques and failure of pure conservative methods. French method of conservative treatment in idiopathic congenital clubfoot in first two months then complete posterior release were the technique followed in a prospective study consisting of 21 infants (38 feet) starting treatment at first week of life not more. Average follow-up was 30 months (range from 24 to 32 months). Seventeen of our patient (81%) and 34 feet out of 38 (89 .5%) clubfeet were corrected without requiring medial release. All patient required medial release were presented with bilateral affection (4 out of 17=23.5%), also all of them were males with highly significant relationship between bilateral affection and sex and relapse of treatment. The results show that careful adherence to the treatment protocol and an improved understanding of the pathologic anatomy can result in similar rates of successful outcomes to those achieved by other authors.