Plantar release in the correction of deformities of the foot in childhood.

Treatment of Resistant Clubfoot with Soft Tissue Release and Alkhooly External Fixator

“…Most of our cases show radiological correction after two years of follow-up as shown in the X-ray. Similarly, Sherman and Westin [30] stated in 1981 that there was no standard method to measure equinus angulation of the calcaneus. So, clinical correction was, therefore, always relied upon when assessing the results.…”

Neuromuscular Issues in Cavovarus Foot

“…For a cavus midfoot, the plantar fascia release is performed in its midportion or released from the calcaneus [9]. Alternatively, a plantar fascia release, including the deep muscles and their tendon sheaths, is suggested [10]. A tight talonavicular joint capsule will need to be released to allow correction of the elevated medial arch.…”

“…In stroke patients who have tight tibialis posterior tendons, an isolated heel cord lengthening is not sufficient. For the hindfoot varus, a tibialis posterior tendon transfer or lengthening should be performed at the same time [10]. If the heel cord is lengthened excessively, the cavus deformity may increase, or a calcaneus gait may result [12].…”

Long-term results of reconstruction for treatment of a flexible cavovarus foot in Charcot-Marie-Tooth disease

“…A wide variety of surgical procedures have been described for the treatment of cavovarus foot deformity, and varying degrees of success have been reported. These procedures include plantar release 4,5,10,11 , calcaneal osteotomy 2,4,12,13 , metatarsal osteotomies 2,4,11,[14][15][16] , tarsometatarsal osteotomies 6,17 , tarsal osteotomy 18,19 , and various tendon transfers 15,20,21 . Typically, patients undergo any number of soft-tissue procedures while the deformity is flexible and additional osseous procedures when the deformity becomes rigid.…”

“…Although portions of this procedure have been described in other studies 2,4,5,10,11,[14][15][16]20 , to our knowledge the outcomes of this particular combination of procedures have not been reviewed or reported in the literature. The purpose of this study was to use reproducible outcome measures to systematically review the long-term results of this treatment approach with regard to patient function, radiographic changes, and gait parameters.…”