EXCISION OF THE POSTERIOR TIBIAL TENDON DURING CLUBFOOT RELEASE

In 50 patients (72 clubfeet), the posterior tibial tendon was excised during complete soft tissue clubfoot release. The end results after an average of 3 years were graded as follows: 55.5% excellent, 29.3% goo d, 8.3% fair, and 6.9% poor. Heel varus and forefoot adduction were th e main causes for recurrence. Heel valgus occurred in one foot. Excisi on of the posterior tibial tendon is safe, does not lead to overcorrec tion, and may prevent further scarring created when the tendon is leng thened.