Clubfoot Sequela Treated with a Multilevel, Hexapod, External Fixator

Clubfoot deformity is best addressed in young children with serial casting and Achilles tenotomy. When the window of opportunity for nonoperative treatment has passed, children will benefit from surgical correction. However, even with surgery the talipes equinovarus position is undertreated and persists into adulthood. In this case we present an 18 year old male with a history of surgically corrected clubfoot as newborn. He presented with ankle, knee, and back pain and a varus-procurvatum distal tibial deformity and a 3.5 cm tibial shortening. A double-level hexapod external fixator was used to correct the supramalleolar varus and tibial shortening. An aligned limb with no length discrepancy was achieved at the end of the correction.