Initial results of Vertical Talus treatment by reverse ponseti method

BackhroundsThe most common method of historical treatment for vertical talus is the extensive softtissue release. A minimal-invasive method based on Dobb (Reverse Ponseti) serial castinghas been introduced 15 years and has yielded significant results. The aim of this study wasto investigate the results of midterm treatment of vertical-talus, treated with minimalinvasivemethod, and extensive soft tissue release group.MethodsTwelve patient with Vertical Talus including 20 feet were prospectively followed onaverage of 2 years . Minimal iinvasive method was investigated in 6 patients with 10 feetand extensive soft tissue release in 6 patients with 10 feet. Patient demographics, Oxfordquestionnaire,ankle range of motion and radiological measurements were analyzed.ResultsIn the last follow-up, the mean range of motion in the Minimal iinvasive group wascomparable to the degree in the extensive soft tissue release group. The score of theOxford questionnaire was not significantly different in the minimal-invasive group with theextensive soft tissue release goup. The same proportion of lateral talar axis-first metatarsalbase angle in the minimal-invasive group compared with the extensive soft tissue releasesurgery groupConclusionsThe less invasive method of Vertical Talus treatment had a same outcome in terms ofmovement and Oxford score in the middle term compared to the high-risk group. More extensive and longer-term studies needed to examine long-term outcomes in adolescence.In general, minimal invasive method similar to The ponseti method in Club foot can beassociated with a better result.