de Waal Malefijt M C, Bos J C, Keessen W
Afd. Orthopedie, Wilhelmina Kinderziekenhuis, Utrecht.
Tijdschr Kindergeneeskd. 1988 Dec;56(6):292-7.
From 1979-1985 seventeen children with twenty-six club-feet were treated. Thirty-four operations have been carried out, divided in three surgical procedures. The heel cord was lengthened in eight feet, a posterior release was done in thirteen feet and a posteromedial release according to Turco was done thirteen times as well. Lengthening of the heel cord seemed to be an insufficient procedure, because six out of eight feet showed a recurrent deformity. The posterior release has given in half of the cases a good result. After posteromedial release we saw in 70% a good or excellent result, when this procedure has been performed between the age of six to twelve months.