[Posteromedial release combined with peritalar release in the treatment of congenital clubfoot].

Basing on the authors' own experiences an attempt to assess the value of posteromedial release in treatment of congenital clubfoot was made. The procedure was performed in 70 feet in 52 children, age ranging from 6 months to 12 years, 90% of the procedures were performed before 4 years of age. Feet were classified as follows: a. non-coerrective--type III according to Marciniak, b. Partially corrective, c. in older children (> 4 years of age) in whom posteromedial release was combined with a lateral resection of the cuboid bone. Late results after 5-20 years (13 years on average) were assessed according to Magone's classification. Deformity free, fully functional feet were achieved in 60% cases. The authors stress the fact that posteromedial release is the method of choice in uncorrective cases of clubfeet, and in cases were conservative treatment was implemented after 10 months of age. In the procedure should be performed at the age of 2-3 months.