Introduction: Clubfoot in a congenital deformity consisting of hind foot equinus, hind foot and
forefoot varus and supination of the forefoot. In a complex deformity involving many bones,
articulations and soft tissue structures. The deformity may be idiopathic or associated with congenital or
neuromuscular problems. Plain x-ray is the most dependable radiological exam for diagnosis and
prognosis of clubfeet.
The ossific nucleus of navicular usually appears between 3 – 5 years of age. However in clubfeet the
appearance of navicular might be delayed or when appearing it might look “abnormal in shape”.
Here was retrospectively evaluated x-rays of 41 feet which were clubfeet who were treated surgically
in Hospital for the first time by soft tissue release, and evaluating the relationship of the appearance of
navicular with the prognosis of the surgery.
Methods: We reviewed the record and x-rays of 41 clubfeet with no associated congenital or
neuromuscular disorders who underwent soft tissue release as a primary surgical treatment. All the
patients had their primary treatment in our Hospital between 1993 and 1998 with a follow-up of 5.9
years.
There were 24 feet, which had normal shaped navicular and 17 feet with abnormal shaped navicular.
We evaluated radiographs done pre-op, post-op and at the time of the most recent follow-up visit.
We measured talocalcaneal angles, talohorizontal angles, space between articular surface of talus and
cuniformis, length of navicular, level of dorsal subluxation of navicular

Conference Title

1st International Medical Conference: Advances in Pediatric Care

Conference Country

Palestine

Conference Date

Nov. 16, 2008 - Nov. 16, 2008

Conference Sponsor

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