Residual Clubfoot: Equinovarus Deformity/Knee Valgus/Limb Length Discrepancy

A 22 year old active male with history of Asperger’s syndrome, asthma, and left idiopathic clubfoot deformity with subsequent recurrence after open release as an infant is presented. He presented with pain to his hip, knee, and ankle associated with ankle instability. He had a rigid equinovarus deformity in addition to a 3 cm shortening limb length discrepancy. The patient had undergone surgery for correction of limb length disparity, distal femoral valgus, and hindfoot equinovarus deformity to include distal femur fixator-assisted plating and a gradual correction through a supramalleolar osteotomy (SMO) of the tibia using a Taylor Spatial Frame (TSF). No complications happened in this case with a successful final outcome.