Acute correction of severe neglected club feet using a circumferential incision.

Severe neglected club feet in older children are a problem frequently seen in less privileged countries. Gradual correction using external fixation is a reliable method but needs sufficient infrastructure and professional supervision for follow-up. Acute corrections may be justified if such infrastructure is not available and a single stage solution is needed. A circumferential fasciocutaneous flap has been developed to allow skin coverage for acute corrections, which has been used besides a modification of other flaps used in correction of severe club feet.