ROLE OF ABDUCTOR HALLUCIS RELEASE WITH PONSETI METHOD FOR TREATING FOREFOOT ADDUCTION IN IDIOPATHIC CONGENITAL TALIPES EQUINOVARUS

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

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Orthopaedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Abstract

Objectives: The study's aim is to assess the benefit of abductor hallucis tenotomy (AHT) in idiopathic
talipes equinovarus as a treatment of adduction deformity of forefoot during serial casting. Methods: A
study of fifty cases (50) children (72 feet) history of idiopathic clubfeet had been treated prospectively in
(Abo El Reesh pediatric hospital-Kasr Al Ainy) between February 2017 and August 2018 (18 months).
Fifty 50 cases (72 feet) managed with abductor hallucis tenotomy added to serial casting for treating
forefoot adduction with Ponseti method. Results and conclusion: 50 cases (72 feet) managed abductor
hallucis tenotomy added to Ponseti and, followed up 9 months. 97% success rate, mean Pirani score was
0.4, the abductor hallucis tenotomy reduces the length and number of casts, as well as the expense and
likelihood of leg atrophy and relapse.

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