Case Reports and SeriesSimultaneous Correction of Congenital Vertical Talus and Talipes Equinovarus Using the Ponseti Method
Section snippets
Case Report
The author was consulted for evaluation of a 2-day-old newborn male with suspected simultaneous talipes equinovarus and congenital vertical talus (Figure 1). The infant was born at 39 weeks of gestation via cesarean section. There were no perinatal complications and Apgar scores were 8 at 1 minute, and 9 at 5 minutes. Birth weight was 5 lb 14 oz, and he displayed moderate meconium. Upon evaluation of the lower extremities, the left foot displayed clubfoot deformity and the right foot showed
Discussion
Ponseti (3) asserted that the high failure rate of conservative correction of talipes equinovarus was attributable in part to a poor understanding of the normal functional anatomy of the foot, and the pathologic anatomy of clubfoot. He revolutionized clubfoot treatment by developing a uniform treatment technique of manipulation and serial casting. In 1963, Ponseti and Smoley described the results of this technique in 67 patients (94 feet) (9). The varus deformity was fully corrected in 70
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Cited by (10)
Hip and Lower Extremity Deformities
2023, Principles of NeonatologyAnesthesia for Pediatric Orthopedic Surgery
2016, Smith's Anesthesia for Infants and Children, Ninth EditionBilateral congenital vertical talus with severe lower extremity external rotational deformity. Treated by reverse Ponseti technique
2012, FootCitation Excerpt :The author would recommend early casting for idiopathic CVT along the same lines as the Ponseti technique for clubfoot except that the forces applied were in reverse direction [14]. Recently David [15] reported the result of an interesting case with unilateral idiopathic clubfoot with contralateral CVT that was successfully treated using a combination of the Ponseti technique on the left foot and the reverse Ponseti technique and surgical release of the Achilles tendon on the right one. In our single case, we had satisfactory result by using only the reverse Ponseti technique in contrast to previous reports which suggested additional surgical procedure was required to initial and serial manipulations and casting treatment.
Outcomes of a Minimally Invasive Approach for Congenital Vertical Talus with a Comparison between the Idiopathic and Syndromic Feet
2021, Journal of Pediatric OrthopaedicsEffectiveness of therapeutic footwear for children: A systematic review
2020, Journal of Foot and Ankle ResearchA comparison of the Dobbs method for correction of idiopathic and teratological congenital vertical talus
2016, Journal of Children's Orthopaedics
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Conflict of Interest: None reported.