Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting

Abstract

Background: Neglected cases of clubfoot reported from Indonesia still remain high. In Wahidin Sudirohusodo Teaching hospital, conservative treatment for neglected clubfoot has been performed since the late 1990s. Although the Ponseti method has been the most widely used correction procedure for clubfoot, it remains uncomfortable for patients who had already walked to use full-length Ponseti cast. Therefore, the authors performed below knee serial casting for the treatment in such patients and they were also allowed to perform full weight bearing walk, for the correction of deformity involving both casting and pressure from the body weight. Methodology: This is an analytic retrospective study presenting thirteen clubfoot cases in nine ambulating patients diagnosed at Orthopaedic Policlinic Wahidin Sudirohusodo Hospital during the period between October 2017 and March 2018. Lehman’s Criteria was used to summarize and classify the results as poor (