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

Abstract

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 [phone]Fax [phone]Email [email protected]: 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

Keywords

• ponseti treatment
• neglected clubfoot
• untreated clubfoot