Abstract

Much discussion exists about the best operative technique to treat congenital convex pes valgus. In this article a table of surgical approaches and an algorithm, based upon literature review, are presented. In our opinion the technique of choice in a child younger than 2 years of age is extensive release with lengthening of tendons and fixation procedures. In a child over 2 years of age, extensive release with tendon transfer is the preferred procedure. When this procedure has failed, naviculectomy with extensive release and tendon transfer, or subtalar / triple arthrodesis must be considered.