Abstract: CTEV is one of the most common congenital disabilities of the musculoskeletal system. It has been demonstrated that the Ponseti method is the gold standard for treating clubfoot. Although relapses do occur, this represents a significantly smaller proportion. A 3-year-old boy came with relapsed crooked right foot after 2 years of Achilles tenotomy. The patient previously had a serial plaster cast using the Ponseti method for 6 times, then it was decided to do an Achilles tenotomy surgery with an above knee cast immobilization. However, after followed by the use of a removable orthotic for up to 6 months, the parents did not comply with the foot abduction brace protocol. The Pirani pre-operatively was 3.5. We performed an Achilles tendon lengthening surgery with triple Achilles tendon hemisection, with anterior tibial tendon transfer and posteromedial capsule release. The foot was immobilized for three weeks in a above knee cast. After the surgery, the Pirani score was reduced to 0.5. The Ponseti approach, which is an efficient and secure therapy for clubfoot, has been shown to be the gold standard. After Ponseti method, the corrected foot can relapse for several reasons. Noncompliance with the foot abduction brace was associated with an increased risk of relapse and worsening of the deformity. This emphasizes the importance of parent education, support, and close frequent monitoring of patients in order to identify any compliance issues early on and modify the brace accordingly.
Keywords: CTEV, ponseti, clubfoot relapse, abduction brace protocol.
Title: Neglected CTEV in a 3-year-old Boy Treated by Triple Achilles Hemisection, Anterior Tibial Tendon Transfer and Posteromedial Capsular Release: A Case Report
Author: Pradhytia Bagas Asrafy, Naufal Chairulfatah, Raden Dadan Gardea Gandadikusumah, Rizki Muhammad
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Vol. 12, Issue 1, April 2024 - September 2024
Page No: 53-58
Research Publish Journals
Website: www.researchpublish.com
Published Date: 15-July-2024
