Modified ponseti technique in an eleven-year-old with bilateral untreated clubfoot: A case report

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 nig...

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Bibliographic Details
Main Authors: Wong, Maria, Ali, Mazelan, Saw, Aik
Format: Article
Published: Dove Medical Press Ltd 2021
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Online Access:http://eprints.um.edu.my/35784/
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Summary: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. © 2021 Wong et al.