v4.1 Fusion X
Relapse often due to **brace non‑compliance**; dynamic supination is common in toddlers. Initial management is **re‑casting** following Ponseti principles; evaluate for residual equinus/adductus. **Tibialis Anterior Tendon Transfer (TATT)** indicated for persistent dynamic supination after walking age. Technique: split or whole TATT to lateral cuneiform (through bone tunnel or anchors) with foot held in dorsiflexion/eversion. Severe rigid relapses may require posteromedial release or external fixation; address cavus and forefoot adductus carefully.
What is the most common cause of relapse in congenital talipes equinovarus after initial treatment with the Ponseti method?
During the Ponseti method, which component of the CTEV deformity is corrected last?
What is the primary indication for performing a tibialis anterior tendon transfer (TATT) in patients with CTEV?
What is the incidence of relapse in children treated with the Ponseti method for CTEV?
What is the role of the foot abduction brace (FAB) in the management of congenital talipes equinovarus?
Which technique is used for tibialis anterior tendon transfer?
What is the expected correction sequence during Ponseti casting for CTEV?
What is a common manifestation of relapse in CTEV after successful treatment?
What additional surgical intervention may be required for severe rigid relapses of CTEV?
What is the primary purpose of a post-tenotomy cast in the Ponseti method?