Talectomy for Correction of Severe Rigid Clubfoot in a Patient with Arthrogryposis

Clubfoot is the most common foot deformity in patients with arthrogryposis. The arthrogrypotic clubfoot is stiffer, resistant to treatment, and has a high recurrence rate when compared to the standard idiopathic clubfoot. The presence of deformities and contractures in other joints, specifically the hip and knee, render the treatment even more challenging. Talectomy is one of the several approaches to be considered for recurrent cases or as the initial surgery for very stiff and severely deformed feet, with the aim of converting the deformed foot into a stable, painless, and plantigrade one. This chapter describes the surgical treatment of a four-year-old boy with arthrogryposis and bilateral stiff recurrent clubfeet deformities, who had talectomy for correction of the foot deformity. At the latest follow-up, the patient has a plantigrade painless foot and he was ambulating with braces.