Source of Support: None, Conflict of Interest: None
The etiology of club foot is unknown. Recently interest is shown in the frequency of arterial dysgenesis in limbs exhibiting congenital iodpathic club foot. Most of the authors demonstrated the absence or hypoplastic anterior tibial artery and medial plantar artery in 85% of club feet and stressed the need of protection of posterior tibial artery during operative correction. (Greider 1982, and Sodre et al 1990). The posterior tibial artery has been found normal and mostly a dominant vessel in all club feet. We report a case of absent posterior tibial artery and its replacement by an aberrant muscle in a case of club foot.