Early Dwyer operation in talipes equinovarus.

For clubfeet resistant to conservative treatment, an early soft-tissue release and reduction of talonavicular dislocation are recommended. To prevent the deforming influences towards varus of the often small inverted heel and make it reach the ground properly, a Dwyer osteotomy of the calcaneum is indicated. In a series of 22 patients this operation was performed on 29 clubfeet. The results at follow-up were satisfactory in all of the patients operated on before the age of 1 year, the youngest being 3 months. Young patients with a varus and small inverted heel respond very well.