[Heredogarm and coefficient of inbreeding in an Indian family with male pseudo-hermphroditism and congenital clubfoot].
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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.
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The observation and treatment of 142 children have shown that most favorable results were obtained in operations on soft tissues of the foot not involving the integrity of tendons of the peroneal group of muscles. The method developed by the authors is the most physiological one and contributes to the quickest recovery of functions of the foot and talocrural articulation.
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