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Wheeless' Textbook of Orthopaedics
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Club Foot: Combined Soft-Tissue and Bone Procedures



- Discussion:
    - posteromedial release may not fully correct a resistant deformity;
            - w/ severe deformity, consider osteotomy of the distal part of calcaneus combined with
                    a plantar fasciotomy in addition to the posteromedial release;
    - medial opening-wedge osteotomy of calcaneus and the insertion of a wedge of bone;
    - osteotomy of the calcaneus is laterally and dorsally based closing-wedge resection of the
            distal part of the calcaneus, avoiding both calcaneocuboid and subtalar joints;



Operation for calcaneus deformity after surgery for club foot.

Dwyer osteotomy for treatment of calcaneal varus.

Tarsometatarsal truncated-wedge arthrodesis for pes cavus and
    equinovarus deformity of the fore part of the foot.

Osteotomy of the first cuneiform as treatment of residual adduction
    of the fore part of the foot in club foot.

Shortening of the first metatarsal as a complication of metatarsal
    osteotomies.

Dillwyn Evans operation for relapsed club foot. Long-term results.

Pes cavovarus. Review of a surgical approach using selective
    soft-tissue procedures.







Original Text by Clifford R. Wheeless, III, MD.