Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery

Objectives: The aim of this study is comparing the results between the Ponseti method with or without abductor hallucistenotomy (AHT) in idiopathic talipesequinovarus as a treatment of persistent forefoot adduction during serial casting.Methods:A study of One hundred case (100) children (137 feet) history of idiopathic clubfeet had been treated prospectively in Abo El Reesh pediatric hospital between February 2017 and August 2018 (18 months). Fifty cases (65 feet) managed with Ponseti method (Group 1) and 50 cases (72 feet) managed with abductor hallucistenotomy during serial casting for treating forefoot adduction with Ponseti method (Group 2).Results and conclusion: two groups, group I 50 cases (65 feet) managed with Ponseti and group II 50 cases (72 feet) managed with Ponseti and abductor hallucistenotomy,followed up 9 months. group I 89% while group II 97% sucessrate,meanPirani score 1.015 in group I while in group II 0.4, Abductor hallucistenotomy shortens the duration and number of casts, decreases cost and risk of leg atrophy and relapse

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