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 socioeconomic 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