Modified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report

Maria Wong,1,2 Mazelan Ali,1 Aik Saw1,2 1Department of Orthopaedic Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia; 2National Orthopaedic Center of Excellence for Research & Learning (NOCERAL), University of Malaya, Kuala Lumpur, MalaysiaCorrespondence: Maria WongDepartment of...

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Autores principales: Wong M, Ali M, Saw A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
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Acceso en línea:https://doaj.org/article/aee3e720d0464dfd9cc1645e2a6eb92e
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Sumario:Maria Wong,1,2 Mazelan Ali,1 Aik Saw1,2 1Department of Orthopaedic Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia; 2National Orthopaedic Center of Excellence for Research & Learning (NOCERAL), University of Malaya, Kuala Lumpur, MalaysiaCorrespondence: Maria WongDepartment of Orthopaedic Surgery, University Malaya Medical Centre, Kuala Lumpur, 50603, MalaysiaTel +60379492061Fax +60379493141Email mria_lynn@yahoo.comAbstract: 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.Keywords: Ponseti treatment, neglected clubfoot, untreated clubfoot