Treatment of the Idiopathic Clubfoot: Critical Evaluation of Different Types of Treatment Programs

Fifty-four patients with 73 idiopathic clubfeet, primarily treated in our department, were reviewed with a mean follow-up time of 9 years 4 months. According to the Laaveg-Ponseti score, 56% of results were excellent or good, 37% were fair, and 7% were poor. According to the McKay score, only 25% of results were excellent or good, 45% were fair, 26% were poor, and 4% were failures. Patients were divided according to their treatment program. A one-stage reduction of all deformities with a posteromedial release showed the best results, superior to “chirurgie a la carte” or staged surgery. The best results were obtained with posteromedial release performed in the first year of life.