SURGICALTREATMENT OF CLEFT FOOT USING DOUBLE OPPOSING Z-PLASTY

Abstract

Cleft foot deformity may clinically be seen in a wide spectrum of presentations, ranging from skin cleft to several ray deficiencies of the central region of the forefoot. The typical cleft foot is characterized by the congenital absence of one or several median rays, with normal rays bordering the cleft. Unless treated surgically, two pincer-like deformities will appear at the distal end of the foot as the child grows. The primary objectives for reconstruction of cleft foot are closing the cleft to a certain level, maintaining a symmetrical foot, and preserving the position of the border rays to prevent collapse and valgus deformities of the toes. A simple surgical approach to reconstruct cleft foot using double opposing Z-plasty in a patient with bilateral cleft feet is reported here.