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Abstract About 30-50% of clubfeet treated by conservative methods eventually need surgical correction (Brockman 1930, Turco 1971, Lehman 1980, Franke and Hein 1988, and K6se et aI, 1999 and Manzone 1999). Residual deformities after surgical correction of clubfeet are quite common (McHale and Lenhart, 1991). On average the results of about 25% of operated feet will have poor results and will need additional surgical intervention (Turco 1971,Green and L1oyd-Roberts1972, Tayton and Thompson 1979, Yamamoto and Furuya 1988, and Lehman et at. 1999). This study was undertaken at Mansoura University Hospital, Egypt and at the Nuffield Orthopaedic Centre, Oxford University, U.K. to evaluate the results of revision surgery of clubfeet. We tried to develop an algorithm that suggests suitable surgical solutions to a variety of clubfoot deformities in different age groups. This study was carried out in the period between October 1996 and December 2000. It included 54 children with 73-relapsed clubfeet, which recurred after initial surgical treatment. There were 42 boys (77.8 %) and 12 girls (22.2 %). The relapsed deformity was bilateral in 19 children (35.2 %) and unilateral in 35 (64.8 %). Thirty-six feet (49.3 %) were left and 37 (50.7 %) were right. Only patients with idiopathic clubfeet were included. |