Open AccessModified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report
Author(s) -
Maria Pik Wong,
M. Jafer Ali,
Saw Aik
Publication year - 2021
Publication title -
orthopedic research and reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 9
ISSN - 1179-1462
DOI - 10.2147/orr.s342738
Subject(s) - clubfoot , ponseti method , medicine , ankle , achilles tendon , surgery , foot (prosody) , brace , tendon , deformity , mechanical engineering , linguistics , philosophy , engineering
We report the case of an eleven-year-old girl with untreated bilateral clubfoot. She had a total of nine long leg castings changed weekly, Achilles tendon Z-lengthening and posterior ankle release followed by another six weeks of long leg cast immobilization post-operatively. We encouraged using night-time foot abduction brace for twelve months. Independent walking was achieved six months post-treatment. No recurrence was noted at eighteen months following treatment. The modified Ponseti weekly casting method was successful up to adolescent age; however, more cast changes, longer stretching before each cast application and posterior ankle release will be needed to achieve functional correction.