W. Röpke. Treatment of congenital clubfoot. (Arch. F. Klin. Chir. 1936, 186, 606-609)

Based on his own observations a. believes that the treatment of congenital clubfoot should begin immediately after childbirth and consist of elastic manual redressing and independent active exercises of certain muscle groups. With strong resistance from the soft parts, the production of tenotomy and especially excision of the plantar aponeurosis is indicated. Violent and violent redress should be avoided; with old clubfoot and clubfoot in adults, when all attempts at plastic redressing are unsuccessful, surgery is indicated on the skeleton of the foot in the form of a wedge-shaped osteotomy, connected, if necessary, with intervention on the soft parts. Long-term monitoring is necessary throughout the entire growth period, even in successfully treated children; At the same time, X-ray observation of the centers of ossification is of great importance as an indicator of the result of treatment, since insufficient ossification, along with other moments, sooner or later can lead to relapses requiring long-term and vigorous treatment.