Wheeless Clubfoot Posteromedial Release Greenville Method

Description: one-stage soft-tissue posteromedial release;
- as a prerequisite, the forefoot adductus deformity should be passively correctable to neutral, inorder to avoid would healing problems following the release;
- posterior, medial, and subtalar soft-tissue contractures are released to permit the realignment of the abnormal anatomy of the bones, and corrected alignment is secured with a single Kirschner wire, which transfixes the talonavicular joint;
- aim of the procedure is to excise or release all of the pathologically contracted soft tissues that prevent correction of deformity;
- best age for this procedure is one to two years, and the upper age limit should be approximately six years;