Congenital talipes equinovarus: successful early correction using the ponseti method

Abstract

Background: Congenital talipes equinovarus (CTEV) is a common structural foot deformity that can cause lifelong disability if untreated. Early correction using the Ponseti method achieves excellent functional outcomes and minimizes the need for surgery. We report a neonate with unilateral CTEV managed successfully using serial Ponseti casting from the neonatal period, followed by percutaneous tendoachilles tenotomy and maintenance with Denis-Browne splints. At seven-month follow-up, the child demonstrated near-normal alignment, no neurovascular deficits, and good weight-bearing ability. This case highlights the effectiveness of early, protocol-based Ponseti management in achieving durable correction of CTEV.