Results of Using Reversed Ponseti Technique in Treatment of Congenital Vertical Talus
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- Category: Vol. 85, June 2017
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Results of Using Reversed Ponseti Technique in Treatment of Congenital Vertical Talus, MOHAMED F. EL-KHOSOUSY, YEHIA TARAF, NAGUIB PASHA, ALY AL-ZWAHRY and MOHAMED TAG
Abstract
Introduction: Congenital vertical talus is a rare anomaly that causes a rocker bottom deformity of the foot. The foot is abducted with the heel in valgus & equinus deformity. Surgery was the main stay of treatment. Reversed ponseti technique of manipulation and serial casting of the foot is a new modality of minimal treatment of the deformity.
Patients and Methods: Forty six feet with congenital vertical talus were treated using weekly manipulation and serial casting followed by minimally invasive open talonav-icular reduction with percutaneous pinning and Achilles tenotomy.
Results: Forty four out of forty six feet show excellent results with deformity correction and talonavicular reduction at 4 years follow-up with no recurrence of deformity.
Conclusion: Reversed ponseti technique of manipulation and serial casting followed by minimally invasive open talonavicular reduction give excellent results in treatment of congenital vertical talus.