Orthonotes
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v3.0 Fusion
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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.

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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.
MCQs

High-yield practice questions

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Question 1

What is the correct sequence of deformity correction in the Ponseti technique for clubfoot?

Question 2

What is the primary purpose of the percutaneous Achilles tenotomy in the Ponseti technique?

Question 3

How long should the foot abduction brace (FAB) be used after the final cast in the Ponseti technique?

Question 4

Which of the following statements about the Ponseti technique is true?

Question 5

What is the typical incidence of congenital talipes equinovarus (CTEV)?

Question 6

What scoring system is most widely used to assess the severity of clubfoot?

Question 7

Which of the following is NOT a component of the CAVE deformity in clubfoot?

Question 8

What is the main reason for avoiding pronation during the correction of cavus in clubfoot?

Question 9

In the Ponseti technique, how many casts are typically required to correct clubfoot?

Question 10

What is a significant associated condition that may lead to a more resistant clubfoot?