Abstract
Summary From Aug 1992 to Feb 2001, thirty-two operations on the foot and ankle were performed in the Department of Orthopedics and Traumatology of El-Minia University Hospital in 24 children, 16 boys and 8 girls suffering from severe clubfoot deformity. There were eight cases with bilateral and 16 with unilateral affection. Their ages ranged from three to three and a half years. One of the unilateral deformed patients was aged 13 years and had severe equinovarus deformity due to burn contracture. One case aged 14 years had bilateral deformity that was treated when she was 2 years old and upon recurrence, it was neglected until that age. They were treated by soft tissue release and skin flaps with either rotation or multiple Z-plasty supplemented with the Alkhooly external fixator. The followup period ranged between 4 and 8 years. The results according to Mittal (1987) were excellent in 23 feet (71.9%), good in 8 feet (25%) and poor in one foot (3.1%).
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