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Title: Recurrent club-foot deformity following previous soft-tissue release: mid-term outcome after revision surgery. Author: Mehrafshan M, Rampal V, Seringe R, Wicart P. Journal: J Bone Joint Surg Br; 2009 Jul; 91(7):949-54. PubMed ID: 19567862. Abstract: The results of further soft-tissue release of 79 feet in 60 children with recurrent idiopathic congenital talipes equinovarus were evaluated. The mean age of the children at the time of re-operation was 5.8 years (15 months to 14.5 years). Soft-tissue release was performed in all 79 feet and combined with distal calcaneal excision in 52 feet. The mean follow-up was 12 years (4 to 32). At the latest follow-up the result was excellent or good in 61 feet (77%) according to the Ghanem and Seringe scoring system. The results was considered as fair in 14 feet (18%), all of whom had functional problems and eight had anatomical abnormalities. Four feet (5%) were graded as poor on both functional and anatomical grounds. The results were independent of the age at which revision was undertaken.[Abstract] [Full Text] [Related] [New Search]