Article

[Application of Ponseti method in case of neglected talipes equinovarus in 4 years and 9 months old boy with DiGeorge syndrome--case report].

Klinika Ortopedii i Traumatologii, Instytut Centrum Zdrowia Matki Polki w Łodzi.
Chirurgia narzadow ruchu i ortopedia polska 76(2):115-7. pp.115-7
Source: PubMed

ABSTRACT Case report of application of Ponseti method in treatment of neglected congenital talipes equinovarus in boy with DiGeorge syndrome who was 4 years and 9 months of age at the beginning of the treatment. Foot was classified as very severe, scored 4.5 points according to Pirani and 15 points according to DiMeglio classification. After 9 casts set according to Ponseti protocol good correction of all components was achieved accept for the equinus deformity. Achilles lengthening procedure was done, but there was necessity to perform posterior release to achieve good dorsiflexion. Finally, goals of treatment were achieved: the foot is flexible, well shaped, pain free, ready for weight-bearing and use of commercial shoes. At current stage of treatment the foot scores 0.5 points according Pirani and 4 points according to DiMeglio classifications.

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Keywords

15 points
 
4 points
 
9 casts
 
Achilles lengthening procedure
 
Case report
 
commercial shoes
 
congenital talipes equinovarus
 
current stage
 
DiGeorge syndrome
 
foot scores 0.5 points
 
pain free
 
Ponseti method
 
posterior release
 
weight-bearing