Four Foot Abduction Orthosis

The ponsetti method involves weekly cereal casting with the knee in 90 degrees of flexion. Then four foot abduction is carried out to correct cavis and heal varus. Tendo achilles lengthening at eight weeks is required in greater than 80 to 90 % of cases. In two to four year time frame, tibialis anterior tendon transfer is typically one for 30 to 50% of patients.