Discussion
- in older pts (3-10 yo), medial opening or lateral column shortening osteotomies or cubital decancelization is recommended;
- for children who present w/ refactory clubfoot late (8-10 yo), triple arthrodesis is only procedure possible to elminate assoc pain;
- triple arthrodesis is contraindicated in patients with insensate feet because it causes a rigid foot that may lead to ulceration;
- talectomy may be a better procedure in these patients