ABSTRACT
Extreme deformities are quite prevalent, and they are as common in small children as in adolescents and adults. Presentation of clubfoot in myriad variables was the reason to study the morbid anatomy of clubfoot by anatomical dissections in stillborn fetuses and gain a basic knowledge of the morbid anatomy of the disease. A stress fracture is an extremely rare event in association with congenital clubfoot, with only occasional reports. In clubfoot, the obvious cause of this fracture is altered biomechanics due to the deformity and abnormal stress on the lateral border due to unaccustomed activity. Surgical techniques have been evolved for any conceivable clubfoot deformity, at any age with the best patient satisfaction. The third-generation, or DOLARZ-E, surgical technique is a 3-in-1 surgical incision for grade 3 extreme deformities present from birth as untreated or with scars of one or more earlier surgeries at all ages, in children as well as adults.
