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Table 1 Relapse assessment protocol (after Bhaskar) [14]

From: Walk for life - the National Clubfoot Project of Bangladesh: the four-year outcomes of 150 congenital clubfoot cases following Ponseti method

LEFT

RIGHT

Description

1A/2A

1A/2A

Reduced ankle dorsiflexion: <15 to 0 (1A)

Fixed ankle equinus: <0 (2A)

1B/2B

1B/2B

Gait supinated, dynamic forefoot adduction/supination – flexible relapse (1B)

Fixed adduction of forefoot - curved and

rigid relapse (2B)

3

3

Two or more fixed deformities*

  1. Relapse assessment was performed in two steps
  2. 1. Examine ankle range, with knee extended
  3. 2. Watch gait for supination
  4. *Fixed ankle equinus and adduction and cavus (partial relapse)
  5. *Heel varus and ankle equinus, midfoot cavus, forefoot adduction (total relapse)