Clubfoot — Ponseti Technique
Correct deformities in **CAVE** order: **C**avus → **A**dductus → **V**arus → **E**quinus. Use **Ponseti casting** with abduction and supination around talar head; avoid pronation/forceful correction. Most require **percutaneous Achilles tenotomy** before final cast. Maintain with **foot abduction brace (FAB)** 23 h/day initially, then during sleep until 4–5 yrs to prevent relapse. Atypical/complex clubfoot needs modified slower casts; beware dorsal creases and short forefoot.
Practised by MCQ
10What is the correct sequence of deformity correction in the Ponseti technique for clubfoot?
mcqWhat is the primary purpose of the percutaneous Achilles tenotomy in the Ponseti technique?
mcqHow long should the foot abduction brace (FAB) be used after the final cast in the Ponseti technique?
mcqWhich of the following statements about the Ponseti technique is true?
mcqWhat is the typical incidence of congenital talipes equinovarus (CTEV)?
mcqWhat scoring system is most widely used to assess the severity of clubfoot?
mcqWhich of the following is NOT a component of the CAVE deformity in clubfoot?
mcqWhat is the main reason for avoiding pronation during the correction of cavus in clubfoot?
mcqIn the Ponseti technique, how many casts are typically required to correct clubfoot?
mcqWhat is a significant associated condition that may lead to a more resistant clubfoot?