Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Deformity Correction
Correction of Neglected CTEV in Adults
A bilateral neglected clubfoot in an adult — the most challenging deformity to correct — addressed with a tailored combination of talectomy, fusions and muscle balancing.
Patient Age
41 Years
MECHANISM
Neglected congenital clubfoot
PRESENTATION
Lifelong Bilateral Deformity
APPROACH
Talectomy, Selective Fusions, Muscle Balancing
01
Clinical Rationale
Neglected adult clubfoot is widely regarded as the hardest deformity to correct. Each foot required a different bony solution, and in both, balancing muscle power mattered as much as realigning bone — one without the other fails.
02
Surgical Approach
A tailored 'kitchen-sink' approach was taken per side: talectomy with tibio-calcaneal fusion on one foot, and cuboid excision with cuneiform-talus fusion on the other, combined with muscle-power balancing to hold the correction.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Neglected CTEV in adults is the most challenging deformity to correct.
#2
A tailored 'kitchen-sink' approach is deemed necessary per case.
#3
Balancing of muscle power is a must to hold the correction.
#4
Each foot may need a different bony procedure depending on its deformity.
04
Clinical Care Points
RIGHT SIDE
- i) Right — Talectomy + tibio-calcaneal fusion
ii) Bony deformity correction
iii) Muscle-power balancing
iv) Plantigrade foot achieved
LEFT SIDE
- i) Left — Cuboid excision + cuneiform-talus fusion
ii) Bony deformity correction
iii) Muscle-power balancing
iv) Plantigrade foot achieved
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Correction of Neglected CTEV in Adults
A bilateral neglected clubfoot in an adult — the most challenging deformity to correct — addressed with a tailored combination of talectomy, fusions and muscle balancing.
A 41-year-old woman had lived with severe untreated clubfoot deformities in both feet since childhood. The rigid inward and downward position made normal plantigrade standing impossible and severely limited footwear and mobility. In adulthood, the priority was not to create a perfectly normal foot, but to achieve stable, braceable feet that could face the ground.
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