Fourteen Year Old Female with Residual Clubfoot Deformity Treated with Taylor Spatial Frame

Fixed bony deformity as a sequela of clubfoot in an adult is a difficult problem. The option of acute correction with closing wedge osteotomies further shortens an already small foot. Gradual correction through a midfoot osteotomy with an external fixator offers the ability to correct multiple deformities simultaneously as well as obtain foot length for a longer lever arm to improve gait mechanics. This case describes the treatment of a 14 year old girl with residual fixed bony deformities resulting from infantile clubfoot. A midfoot osteotomyMidfoot osteotomy was performed with a Gigli saw, and then a circular external fixator (Taylor Spatial Frame) was used to gradually obtain a plantigrade foot. A prophylactic tarsal tunnel release was performed.