Due to the close proximity of vessels, bleeding and a pseudoaneurysm have been reported during percutaneous Achilles tenotomy.[52]Dobbs MB, Gordon JE, Walton T, et al. Bleeding complications following percutaneous tendoachilles tenotomy in the treatment of clubfoot deformity. J Pediatr Orthop. 2004;24:353-357.
http://www.ncbi.nlm.nih.gov/pubmed/15205614?tool=bestpractice.com
[53]Dobbs MB, Gordon JE, Schoenecker PL. Absent posterior tibial artery associated with idiopathic clubfoot: a report of two cases. J Bone Joint Surg Am. 2004;86-A:599-602.
http://www.ncbi.nlm.nih.gov/pubmed/14996890?tool=bestpractice.com
[54]Burghardt RD, Herzenberg JE, Ranade A. Pseudoaneurysm after Ponseti percutaneous Achilles tenotomy: a case report. J Pediatr Orthop. 2008;28:366-369.
http://www.ncbi.nlm.nih.gov/pubmed/18362805?tool=bestpractice.com
variable
high
Likelihood is high in resource-poor settings. Untreated clubfoot may result in extensive disability for the child, and negative socio-economic impact upon the child's family.
variable
low
Inappropriate casting may lead to skin breakdown, increased cavus deformity, rocker-bottom deformity, recurrence of clubfoot, and poor overall correction.[14]Ponseti IV, Campos J. The classic: observations on pathogenesis and treatment of congenital clubfoot. 1972. Clin Orthop Relat Res. 2009;467:1124-1132.
http://www.springerlink.com/content/623k8t5g112vm276/fulltext.html
http://www.ncbi.nlm.nih.gov/pubmed/19219518?tool=bestpractice.com
[51]Dietz FR. Treatment of a recurrent clubfoot deformity after initial correction with the Ponseti technique. Instr Course Lect. 2006;55:625-629.
http://www.ncbi.nlm.nih.gov/pubmed/16958495?tool=bestpractice.com