Age wise management of CTEV

Age wise management of CTEV

initial treatment starts with ponseti’s POP cast as early as possible,but within 1 year of age.

If deformity gets corrected:

Dennis brown splint is used till 1 year of age

After 1 year upto 5 years CTEV shoes are used in day,and dennis brown splint is used at night.

If deformity is not corrected or untreated previously:

1-3 years- posteromedial soft tissue release

3-5 years:dilwyn evans procedure

5-8 years:Dwyer osteotomy

8-10 years:wedge osteotomy

10 years - triple arthrodesis,external fixators