Case Reports and Series
Simultaneous Correction of Congenital Vertical Talus and Talipes Equinovarus Using the Ponseti Method

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Abstract

Talipes equinovarus (clubfoot) and congenital vertical talus are commonly seen as isolated deformities in the newborn; however, the case that we described in this article entailed a classic talipes equino varus on the left and a calcaneovalgus on the right. Both deformities were successfully corrected with manipulation therapy and, ultimately, surgical release of the tendoAchillis.

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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    Citation 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.

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Conflict of Interest: None reported.

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