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Congenital Talipes Equinovarus — Relapse & Tibialis Transfer

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 fi...