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Management of Clubfoot by Ponseti Technique
Sureshwar Pandey, RA Agrawal
CHAPTER 1:
Introduction
CHAPTER 2:
Planes and Biomechanics of Foot
CHAPTER 3:
Etiology and Pathogenesis
CHAPTER 4:
Pathoanatomy
CHAPTER 5:
Clinical History and Examination
CHAPTER 6:
Photography and Radiological Evaluation
CHAPTER 7:
Classification
CHAPTER 8:
Treatment
PRINCIPLES OF PONSETI TECHNIQUE
Cavus
Varus and Adduction
Equinus
Tibial Torsion
STEPS OF PONSETI TECHNIQUE
Manipulation
Localization and Stabilization of Talus Head
Supination to Reduce the Cavus
Correction of Adduction
Assessment of Adequate Abduction
Correction of Equinus
Plaster Cast Application
First Cast
Second to Fifth Cast
Final Cast
Cast Care Instructions for Parents
Tendo-Achilles Tenotomy
BRACING AND PHYSIOTHERAPY
Bracing
Wearing Instructions for Abduction Brace
Physiotherapy
EVALUATION IN SERIAL PLASTER CASTS
Clinical Evaluation in Serial Plaster Casts
Derotation Around Talus
Adduction of Forefoot
Varus Heel
Equinus Foot
Radiological Evaluation after Serial Plaster Casts
Case 1 Congenital Clubfoot (0-1 year)
Case 2 Congenital Clubfoot (1-2 years)
CHAPTER 9:
Neglected Clubfoot
NEGLECTED CLUBFOOT PRESENTING BETWEEN 2 TO 3 YEARS
Method
First Stage
Second Stage
Case 1
NEGLECTED CLUBFOOT PRESENTING BETWEEN 3 TO 5 YEARS
Case 2
NEGLECTED CLUBFOOT PRESENTING AFTER 5 YEARS OF AGE
ILIZAROV TECHNIQUE BASED ON PONSETI PRINCIPLE
Frame Construction
Site of K-wires
Size of the Rings
Position of Rings
Steps of Deformity Correction
STEP 1: Correction of Pronation of Forefoot
Step 2: Correction of Adduction Deformity
Step 3: Correction of Equinus
Percutaneous Method
Single Stab Method
Two Stab Method
Step 4: Removal of Ilizarov Frame
Post Removal Bracing
Case 3
Case 4
Soft Tissue and Bony Surgeries
Open Method of Tendo-Achilles Lengthening
Z-lengthening of Tendo-Achilles
Pandey V-Y Lengthening in Continuity
CHAPTER 10:
Relapsed or Recurrent Clubfoot
RELAPSE OF CAVUS
RELAPSE OF ADDUCTION
RELAPSE OF HEEL VARUS AND EQUINUS
RELAPSE OF SUPINATION
Case 1
TIBIALIS ANTERIOR TENDON TRANSFER FOR RELAPSED CLUBFOOT AFTER TREATMENT WITH PONSETI METHOD
Introduction
Pathogenesis of Relapse
Presentation of Relapse
Treatment of Relapse
History of Tibialis Anterior Tendon Transfer
Timing of Surgical Intervention
Types of Tibialis Anterior Tendon Transfer
Preoperative Treatment
Surgical Technique
Discussion
Conclusion
CHAPTER 11:
Clubfoot Associated with Arthrogryposis Multiplex Congenita
ARTHROGRYPOSIS MULTIPLEX CONGENITA
Management
Case 1
CHAPTER 12:
Errors and Complications
MOST FREQUENT ERRORS DURING MANIPULATION AND CAST APPLICATION
MOST COMMON COMPLICATIONS ENCOUNTERED WITH PONSETI TECHNIQUE
Bibliography
INDEX
TOC
Index
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