Arthrogryposis is the name used to define the presence of multiple joint contractures at birth. Amyoplasia is the main and most frequent among the diseases that take place with congenital contractures and equinovarus deformity of the foot. Most of these children have a good potential for walking, and a correction is required to correct their feet to the plantigrade position. Treatment of these feet presents a challenge due to the characteristic rigidity of the disease and to the high risk of recurrence. The authors present the treatment options based on a broad review of the literature, and discuss the conventional surgical techniques, such as the release of soft tissues and talectomy, and the correction of Ilizarov's device. They point to the studies that show the results of primary treatment of the arthrogrypotic foot in an attempt of providing a basis and giving a support to the orthopedist in this difficult choice.
Foot deformities; Foot deformities; Arthrogryposis; Arthrogryposis; Orthopedic procedures