الفهرس 
Treatment of congenital vertical talus by reverse ponseti technique
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Abstract
Background :The surgery for idiopathic congenital vertical talus (CVT) can lead to stiffness, wound complications and under or over correction. There are sporadic literature on costing with mixed results. We describe our early experience of reverse ponseti technique.Material and Methods : 25 feet of idiopathic congenital vertical talus (CVT) treated by serial manipulation and casting, tendoachilles tenotomy and percutaneous pinning of talonavicular joint. An average of 6 (range 5 to 7) plaster cast applications were required to correct the forefoot deformity. Results: The mean follow-up period for the cases was 12 months . At the end of the treatment all feet were supple and plantigrade but still using ankle foot orthosis (AFO). Conclusion:Although our follow-up period is small, we would recommend early casting for idiopathic CVT along the same lines as the Ponseti technique for clubfoot except that the forces applied are in revers e direction. This early casting method can prevent extensive surgery in the future