title: Treatment of persistent forefoot adduction during ponseti method in treatment of idiopathic talipes equinovarus by minimal soft release.
abstract: BACKGROUND
  Abductor hallucies tenotomy sometimes necessary in treatment of clubfoot.
  
  
  METHODS
  Thirty children (45 feet) of one day old up to six months presented with idiopathic clubfoot. Patients were treated using the technique of Ponseti combined by abductor hallucies tenotomy after serial casting.
  
  
  RESULTS
  At a mean follow up period of 16.7 months, 43/45 feet were good (95%), 2/45 feet were bad (5%). The mean Pirani score at the final follow up was 1.05.
  
  
  CONCLUSIONS
  Abductor hallucies tenotomy shortens the duration of casts, decrease the cost and risk of leg atrophy.
authors.affiliation: Alexandria University, Faculty of Medicine, Orthopedic Surgery Department, Alexandria 21532, Egypt.
authors.forename: El Sayed Abd El-Halim
authors.initials: el SA
authors.lastname: Abdullah
keywords: AHT, abductor hallucies tenotomy; Abductor hallucis; Clubfoot; Ponseti; TAT, tendoachillis tenotomy