Clubfoot associated with congenital constriction band: the Ponseti method perspective.

BACKGROUND

The clubfoot and congenital constriction band is a known association in which the clubfoot is considered as being rigid, responding poorly to casting, and requiring surgical interventions.

OBJECTIVE AND

METHODS

The series describes 3 cases of clubfoot with deep ipsilateral congenital constriction bands managed with Ponseti method and immediate outcomes achieved.

RESULTS AND

CONCLUSIONS

The feet responded favorably to casting although equinus correction required more extensive surgical interventions. The preexisting edema in distal limb often precluded a snuggly fitting cast increasing the cast numbers. Careful monitoring of vascularity is essential. Simultaneous procedures of release of constriction bands, correction of hand anomalies and equinus can be combined to the advantage of the patient.

LEVELS OF EVIDENCE: Case report, Level IV.