PT - JOURNAL ARTICLE AU - Kremli, Mamoun K. TI - Fixed forefoot adduction after clubfoot surgery DP - 2003 Jul 01 TA - Saudi Medical Journal PG - 742--744 VI - 24 IP - 7 4099 - http://smj.org.sa/content/24/7/742.short 4100 - http://smj.org.sa/content/24/7/742.full SO - Saudi Med J2003 Jul 01; 24 AB - OBJECTIVE: Studying the causes of residual forefoot adduction deformity after surgical treatment of congenital clubfoot and their management.METHODS: Revision surgery was carried out by the author for 12 patients (13 feet) in King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period between January 1997 to December 1998.RESULTS: In 12 out of 13 feet, K-wire was not used to fix the navicular bone in its reduced position during primary surgery. In all cases, the navicular was found displaced during revision surgery.CONCLUSION: Revision of soft tissue surgery with relocation of the navicular bone improves the outcome of patients with residual fixed forefoot adduction after congenital talipes equinovarus surgery.