Fig. 6A–C.

(A, top), Boy with right clubfoot treated in infancy by plaster cast applications and tendo-Achillis lengthening in another hospital and first seen by us at 5 years of age. Following manipulation and 3 plaster cast applications, the heel-cord was lengthened again and the anterior tibialis was transferred to the cuboid and the extensor hallucis longus was recessed to the neck of the first metatarsal. (B, bottom), At 19 years of age the right foot is well aligned with normal range of motion in all its joints except for limited ankle dorsiflexion to 10 degrees. The strength of the transferred anterior tibial is 5 +. The circumference of the right calf measures 2 inches less than the left. (C) Standing anteroposterior and lateral roentgenograms show mild supination in both feet. The right navicular is slightly wedge shaped.