Follow-up survey of clubfoot treated at the Alfred I. du Pont Institute with special reference to the value of plaster therapy, instituted during earliest signs of recurrence, and the use of night splints to prevent or minimize the manifestations.
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The results of treatment in cases of clubfoot have been observed in 149 patients treated in a single institution during the past 20 years. This study includes patients who are now over five years of age and who returned for clinical and roentgenologic evaluation. The 62 patients who returned represented a total of 96 cases of clubfoot. Of the 96 cases, 77 were treated by the Kite plaster method; 19 were treated with manipulations, plaster casts, and Denis Browne splints. Thirty-two operative procedures were performed on the 96 feet. Excellent or good results were obtained in 72 per cent of the cases treated by plaster casts and the indicated soft tissue surgery. Night splints are important in the prevention and control of recurrences.