[Some remarks to surgical therapy of clubfoot].
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Authors investigated the process of ossification of tarsal bones in patients with club foot previously treated with redression in plaster and soft tissue release. A control group of 150 children between 1 and 12 years of age without club foot deformity was used. Based on analysis of two side X-ray pictures it is stated that 17.8 per cent of cases with club foot reveal a general backwardness and other variables of ossification. No obvious damaging effect of the operation was observed. In their opinion by means of soft tissue release the noxious effect of forced manipulation can be prevented. By ceasing the malposition in time the ossification can be accelerated.
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The authors have studied results of the operative treatment of a typical form of congenital talipes in 220 patients (346 feet) operated by the method of V.A. Shturm Remote results of the surgical treatment were followed in 157 patients (255 feet). Good results were obtained in 120 feet (47,1%), unsatisfactory--in 21 feet (8,2%). Good results were noted in patients operated at the age of 2-3 years.