PEV Treatment

Fifth – Sixth Week Ponseti Cast Treatment

Fifth - Sixth Week Ponseti Cast Treatment

Fifth – Sixth  Week Ponseti Cast Treatment

Fifth - Sixth Week Ponseti Cast Treatment

Fifth – Sixth Week Ponseti Cast Treatment

 

Fifth - Sixth Week Ponseti Cast Treatment

Fifth – Sixth Week Ponseti Cast Treatment

Fifth – Sixth  Week Ponseti Cast Treatment

I rarely need to do fifth – sixth  week Ponseti cast treatment. If the foot is rigid as commonly seen in Arthrogrybosis, Four Ponseti cast application do not suffice. If the appearance of the foot is not satisfactory and /or if the foot could not be pushed beyond midline at the forth week, then I go ahead and plan to do 5th and even sixt casting as needed. There is no need for frustration though. Because I know that I will get the satisfactory correction at the end. Following 5th or 6th cast application, I plan the tenotomy of heel cord. Since the foot is rigid in nature in cases requiring 5th and 6th casts, almost all cases of these pes equinovarus cases necessitate the tenotomy.

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