PEV Treatment

Fourth Week Ponseti Cast Treatment

Ponseti Cast Treatment - 4 weeks

Fourth Week Ponseti Cast Treatment

 

Ponseti Cast Treatment - 4 weeks

Ponseti Cast Treatment – 4 weeks

 

Ponseti Cast Treatment - 4 weeks

Ponseti Cast Treatment – 4 weeks

I pay special attention to Fourth Week Ponseti Cast Treatment. I carefully evaluate the correction we got. I obtain very nice correction in most cases. If so, I evaluate the heel and ankle dorsiflexion. Because, I make the decision whether I plan to tenotomy of heel cord or not. If I am confused, I would like to see the lateral foot x-ray to evaluate the calcaneus plantar flexion. However, most cases require heel cord tenotomy. If I decided to do tenotomy, as a resut I do the surgical scheduling.

Opposite to this, if I am not satisfied with the correction, I plan to apply 5th even 6th cast as needed. Since I share my thoughts with the family, I am prepared to spend some extra time with the family.

Fourth Week Ponseti Cast Treatment

Before fourth week Ponseti cast application, I do the stretching of the foot. I mush the foot from first metatarsal medial side well beyond the midline laterally. As a result, I roll the cast foot in the positon of well beyond to midline laterally. 

 

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