Treatment of persistent forefoot adduction during ponseti method in treatment of idiopathic talipes equinovarus by minimal soft release.

Introduction: Abductor hallucies tenotomy sometimes necessary in treatment of clubfoot.
Material and Methods: Thirty children (45 feet) of one day old up to six months presented with idiopathic clubfoot. Patients were treated using the technique of Ponseti combined by abductor hallucies tenotomy after serial casting.
Results: At a mean follow up period of 16.7 months, 43/45 feet were good (95%), 2/45 feet were bad (5%). The mean Pirani score at the final follow up was 1.05.
Conclusion: Abductor hallucies tenotomy shortens the duration of casts, decrease the cost and risk of leg atrophy.