TURCO’S POSTERO-MEDIAL RELEASE FOR CONGENITAL TALIPES EQUINO-VARUS

Background: talipes equino-varus is the most common congenital orthopaedic anomaly. there are various methods for its management. this study was conducted to determine the efficacy of turco’s one stage postero-medial release in children with congenital talipes equinovarus. material and methods: this observational study was conducted from january 2004 to december 2005 in orthopaedic unit, hayatabad medical complex peshawar, pakistan. forty patients of less than 3 years age, with moderate to severe deformity were treated by turco’s one stage postero-medial release. they were followed for one year. the results were drawn according to the modified mckay rating system. results: out of forty patients, 21 (52.5%) were males and 19 (47.5%) females. twelve (30%) patients had bilateral while 28 (70%) unilateral deformity. five (12.5%) of these patients had family history of clubfoot. post-operatively after one year only 30 (75%) patients were available for evaluation. on mckay rating sys- tem, 18 (60%) patients had excellent results, 6 (20%) good results, 1 (3.3%) fair results, 3 (10%) poor results and 2 (6.6%) patients were labeled as failure. conclusion: patients with congenital talipes equino-varus can be successfully treated in most of the cases by turco’s one stage postero-medial release.