Choices in surgical treatment of rigid neurogenic and arthrogrypotic clubfeet.

Clinical experience in treating clubfoot suggests that the equinovarus deformity in the arthrogrypotic child is often comparable to the equinovarus deformity in certain neurologically impaired children. Both types of feet tend to be rigid, to resist correction, and to present problems of management different from those of idiopathic equinovarus feet. I describe a series of 18 rigid neurogenic or arthrogrypotic clubfeet in 10 children illustrating problems of diagnosis and management and pointing up the desirability of access to a broad range of surgical procedures to solve these unique problems.