RIGID ATYPICAL CTEV

[CHERRY KOVOOR]

Dear Friends

5 month old boy- atypical very rigid ctev

Tenotomy done 4/9/2021 and followed by post tenotomy casts by modified Ponseti casts[ trying to dorsiflex forefoot cavus]

Only correction of foot adduction to neutral achived

Equinus remains rigid. We took x-rays and were rather stunned to see severe cavus almost 70 degrees and more on right

What can be done now,

Should I now give an  custom made alkathine splint and wait and later do SOFT tissude distraction with JESS/ ILIZAROV OR go  for a soft tissue release which I am apprehensive to do as the amount of correction obtained may not be great and scarring adds to further rigidity

 

Attaching x-rays and clinical pics

 

Regards

DR C CHERIAN KOVOOR

KOCHI