Ponseti Clubfoot Clinic
NEVER PRONATE THE FOOT = INCREASE CAVUS
NEVER ATTEMPT TO CORRECT EQUINUS Forcefully ( In some mild cases the equinus corrects simultaneously with the correction of the calcaneus varus.) There is always some partial correction of equinus with abduction of calcaneus under the talus.
BUT if in doubt about equinus, it needs a tenotomy, they do better. For example DF < 10 degrees (Ponseti opinion)
Other errors that we would never do is just Short Leg Plaster, or manipulate around the cuboid ie. kite method.
This document was published on Friday, 8th September 2006.