Mini-scarotomy-assisted Ponseti method in a posteromedial-released recurrent pes equinovarus case
Özlem Orhan1
, İbrahim Tekpınar1, Mehmet Ali Dolap1, Hasan Mehmet Tıraş1, Celal Bozkurt2
1Department of Orthopedics and Traumatology, Harran University, Faculty of Medicine, Şanlıurfa, Turkey
2Department of Orthopedics and Traumatology, Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey
Keywords: Clubfoot, medial scar, Ponseti method, posteromedial release.
Abstract
Although the gold-standard treatment of clubfoot is the Ponseti method, several surgical procedures can be applied in case of resistant, recurrent, or neglected cases. Recurrent deformities after posteromedial release (PMR) may be revised conservatively with Ponseti method. We present a 12-month-old male patient with recurrent pes equinovarus after a failed serial casting followed by PMR. The patient had rigid scar tissue on the medial side of the foot after PMR, which prevented deformity correction. The scar tissue was released with mini-incisions and Ponseti method was applied. The patient had bilateral plantigrade feet at the sixth-month follow-up, and the Pirani score was 0.5. In conclusion, rigid scar tissue may prevent manipulation in revisions with the Ponseti method following PMR. The release of scar tissue with mini-scarotomy can grant a safe revision with the Ponseti method, even after failed surgery.
Citation: Orhan Ö, Tekpınar İ, Dolap MA, Tıraş HM, Bozkurt C. Mini-scarotomy-assisted Ponseti method in a posteromedialreleased recurrent pes equinovarus case. Jt Dis Relat Surg Case Rep 2022;1(1):19-22.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.