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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 3, 445-448
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Dillwyn Evans operation for relapsed club foot. Long-term results

GP Graham and CM Dent

Department of Traumatic and Orthopaedic Surgery, Cardiff Royal Infirmary, Wales.

We reviewed the long-term results of the Dillwyn Evans procedure for club foot in 60 feet of 45 patients with an average age of 29 years, using four different scoring systems. The results at 12 to 38 years were compared with those of an earlier study of the same group of patients. Function was satisfactory in 68% of feet; 90% of the patients were able to perform all desired activities. Mild residual deformity was compatible with satisfactory function, and poor function was related to ankle and subtalar stiffness. Our results suggest that this procedure has a low rate of deterioration and degenerative change with time.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General