Does functional treatment of idiopathic clubfoot reduce the indication forsurgery? Call for a widely accepted rating system

We present our experience of treatment by physiotherapy, continuous passive motion and strapping in a series of 100 clubfeet classified on a scale of severity according to Dimeglio. Twenty-five percent were good after conserv ative treatment, and 75% required an operation. There were no recurrences o r additional procedures. Before the introduction of the functional treatmen t in our department, 100% required some sort of surgical intervention and 5 1% required an additional procedure. In comparison with the results publish ed by Dimeglio et al., the greatest discordance is observed in grade 2 club feet.