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Treatment of syndrome-associated congenital talipes equinovarus using the Ponseti method: 4–12 years of follow-up

Matar, Hosam, E.; Makki, Daoud; Garg, Neeraj, K.

Journal of Pediatric Orthopaedics B: January 2018 - Volume 27 - Issue 1 - p 56–60
doi: 10.1097/BPB.0000000000000434
ANKLE & FOOT

to evaluate the effectiveness of the Ponseti method in treating syndrome-associated (nonidiopathic) congenital talipes equinovarus. This was a retrospective consecutive review over a 12-year period in a tertiary centre of all patients with syndrome-associated talipes equinovarus treated with the Ponseti method. The primary outcome measure at the final follow-up was the functional correction of the deformity. There were 16 (28 feet) children, with an average follow-up of 7 years (range: 4–12). The average age at presentation was 6.1 (range: 2–17) weeks. Deformities were severe, with an average Pirani score of 5.0 (range: 3.0–6.0). Initial correction was achieved in all children, with an average of 6 (range: 4–9) Ponseti casts and a tendo-Achilles tenotomy performed in 21/28 (75%) feet. Satisfactory outcome at the final follow-up was achieved in 23/28 (82%) feet. The Ponseti method is an effective first-line treatment for syndrome-associated talipes equinovarus to achieve functional painless feet; children will often require more casts and have a higher risk of relapse.

Department of Trauma and Orthopaedics, Alder Hey’s Hospital, Eaton Road, Liverpool, UK

Correspondence to Hosam E. Matar, MBBS, MSc, MRCS, Department of Trauma and Orthopaedics, Alder Hey’s Hospital, Eaton Road, Liverpool L12 2AP, UK Tel: +44 151 252 5053; fax: +44 151 252 5000; e-mail: hematar@doctors.org.uk

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