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Visual assets

Clinical decision aids and diagrams from the knowledgebase. Each diagram also appears within the relevant clinical domain page, where it is explained in context.

Decision & treatment algorithms

Treatment decision tree

Overall treatment decision tree — from assessment through reconstruction.

Decision algorithm — which course of action

Which course of action (A: triple arthrodesis / B: external fixation / C: amputation) fits the presentation.

General decision algorithm

General decision algorithm for adult post-surgical clubfoot complications.

17 Decision algorithm summary

Consolidated decision algorithm summary.

Diagnostic & clinical sequences

2.7 Recommended diagnostic sequence

Recommended diagnostic sequence for adult post-clubfoot assessment.

3.7 Integrated treatment protocol

Integrated treatment protocol — wound care, offloading, and reconstruction sequencing.

5.7 Clinical algorithm — vascular and neurological evaluation

Clinical algorithm for vascular and neurological evaluation.

Surgical & referral pathways

8.8 Recommended referral pathway

Recommended referral pathway to specialist care.

9.2 Protocol integration — the limb-salvage timeline

Limb-salvage protocol integration timeline.

Specialist referral flowchart

How to identify and contact appropriate specialist care.

Biomechanics & outcomes

Biomechanical cascade

The biomechanical cascade from childhood surgery to adult pathology.

Surgical outcomes comparison

Comparison of surgical outcomes across treatment pathways.

Pre-surgical management

Pre-surgical conservative management — part 1

Pre-surgical conservative management (offloading, wound care, medical optimization).

Pre-surgical conservative management — part 2

Pre-surgical conservative management (continued).

Classification & scoring

WIfI classification card

WIfI (Wound, Ischemia, foot Infection) classification card for limb-threat assessment.

Age-based & salvage algorithms

7.1 Age-based algorithm (Pigeolet 2022)

Age-based treatment algorithm (adapted from Pigeolet 2022).

7.2 Salvage vs amputation decision algorithm (LEAP)

Salvage vs amputation decision algorithm (LEAP study informed).

7.3 Flatfoot algorithm (Watson 2012)

Flatfoot treatment algorithm (adapted from Watson 2012).

Recommended sequence

Recommended treatment sequence.


If a diagram does not render, its content is also available as linked text within the relevant clinical domain page.

© 2026, Benjamin D. Messinger. Compiled as a public service with special thanks to Nous Research.