The Short-term Efficacy Of Mini-invasive Multiplanar Soft Tissue Release For Congenital Clubfoot

Objective: To explore the short-term efficacy of congenital clubfoot with mini-invasive multiplanar soft tissue release.Methods: We retrospectively analyzed 32 patients(45 feet)with congenital clubfoot who underwent mini-invasive multiplanar soft tissue release from July 2014 to June 2017 in our hospital.We collected Dimeglio score and radiographic angles which was completed before treatment and at the last follow-up.Compared the efficacy before and after treatment.Correlation analysis evaluated the relationship between Dimeglio score and angles.Results: The mean follow-up time was(12.6±4.8)months(range from 6.2 to 24.9 months).The median Dimeglio score at the last follow-up was 2.0(1,3),which was significantly better than before treatment(P=0.000).Only the anteroposterior talus-first metatarsal angle showed statistically significant correlation with Dimeglio score(r=0.346,P=0.020).Conclusion: There were less surgical injury,unobvious postoperative scar,ankle joint function and flexibility was good,and short-term follow-up effect was satisfactory with early mini-invasive multiplanar soft tissue release for congenital clubfoot.