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
Materias:	ponseti treatment neglected clubfoot untreated clubfoot Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/aee3e720d0464dfd9cc1645e2a6eb92e
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spelling	oai:doaj.org-article:aee3e720d0464dfd9cc1645e2a6eb92e2021-12-02T19:17:36ZModified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report1179-1462https://doaj.org/article/aee3e720d0464dfd9cc1645e2a6eb92e2021-12-01T00:00:00Zhttps://www.dovepress.com/modified-ponseti-technique-in-an-eleven-year-old-with-bilateral-untrea-peer-reviewed-fulltext-article-ORRhttps://doaj.org/toc/1179-1462Maria 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 clubfootWong MAli MSaw ADove Medical Pressarticleponseti treatmentneglected clubfootuntreated clubfootOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENOrthopedic Research and Reviews, Vol Volume 13, Pp 247-254 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ponseti treatment neglected clubfoot untreated clubfoot Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
spellingShingle	ponseti treatment neglected clubfoot untreated clubfoot Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935 Wong M Ali M Saw A Modified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report
description	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
format	article
author	Wong M Ali M Saw A
author_facet	Wong M Ali M Saw A
author_sort	Wong M
title	Modified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report
title_short	Modified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report
title_full	Modified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report
title_fullStr	Modified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report
title_full_unstemmed	Modified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report
title_sort	modified ponseti technique in an eleven-year-old with bilateral untreated clubfoot: a case report
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/aee3e720d0464dfd9cc1645e2a6eb92e
work_keys_str_mv	AT wongm modifiedponsetitechniqueinanelevenyearoldwithbilateraluntreatedclubfootacasereport AT alim modifiedponsetitechniqueinanelevenyearoldwithbilateraluntreatedclubfootacasereport AT sawa modifiedponsetitechniqueinanelevenyearoldwithbilateraluntreatedclubfootacasereport
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Modified Ponseti Technique in an Eleven-Year-Old with Bilateral Untreated Clubfoot: A Case Report

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