Residual clubfoot correction by means of lateral cuboid resection]

The paper presents the late results (after 5-16 years; mean follow-up--9.5 years) of lateral cuboid resection performed in 55 children with pathologic foot adduction. The age of the children ranged from 18 months to 12 years (average age 41 months). This residual deformity resulted from the treatment of clubfoot (both conservative and surgical). The procedure was performed in cases with severe forefoot adduction (type III according to Simondsa). Late results of treatment of 54 feet (75.9%) of the cases were assessed according to the Magone classification yielding good and very good results in 41 (75.9% feet; satisfactory in 10 (18.6%) feet. In 95% of case correction of adduction deformity was achieved. The authors stress the fact, that the degree of correction is correlated to the extent of the primary clubfoot defect. This procedure allowed correction of talo-navicular relation. The described procedure may be performed with no regard to age, although the optimal age is 3 to 8 years.