Treatment Of The Cleft Foot

Abstract

Congenital cleft foot is a rare anomaly that exhibits many morphological variations. The typical cleft foot is characterized by congenital absence of one or several median rays bordering the cleft. Treatment has been focused on improving function and aesthetic appearance. The most common surgical treatment in the literature includes excision of the useless bony remnants and closure of the cleft. There should be some cases of the cleft foot been managed in M DJamil Hospital but there is no data available during 10 years (2011-2021). We reported a 15-month-old girl born with cleft of the right and polysindactyly of the left foot. The right foot has one central ray deficiency. We performed simple reconstruction of the cleft of the right foot and corrected the polysyndactyly at the same time. The evaluation of the procedures were based on assessments on cosmetic, functional, and roentgenographic results. At 3 month after surgery it showed no widening of the reconstructed foot, no hypertrophic  scarring, and no overlapping of the toes. The functional assessment includes evaluation on gait disturbance and ulceration of the foot, we did not find gait disturbance nor ulceration found. According to the roentgenographic evaluation, we found no valgus deformity of the first toe and the distance between the first and fifth metatarsal was not narrowing.