Paediatric: Ponseti method: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Paediatric: Ponseti method

Sample item

In the Ponseti method for clubfoot, which component is corrected last?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Equinus, by percutaneous Achilles tenotomy

Serial casting corrects cavus first by supinating the forefoot, then adduction and varus together by abducting the foot around a fixed talar head, and finally equinus, usually with percutaneous Achilles tenotomy. A foot abduction brace is then used to prevent relapse.

Option by option

  • A. Cavus

    Cavus is corrected first.

  • B. Equinus, by percutaneous Achilles tenotomy (correct)

    Correct. Equinus is corrected last, often with tenotomy.

  • C. Adduction

    Adduction is corrected together with varus.

  • D. Varus

    Varus is corrected with adduction before equinus.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, Equinus, by percutaneous Achilles tenotomy. Serial casting corrects cavus first by supinating the forefoot, then adduction and varus together by abducting the foot around a fixed talar head, and finally equinus, usually with percutaneous Achilles tenotomy.

Why is "Cavus" not the answer?

Cavus is corrected first.

Why is "Adduction" not the answer?

Adduction is corrected together with varus.

Why is "Varus" not the answer?

Varus is corrected with adduction before equinus.

What concept does this question test?

It tests Paediatric: Ponseti method in Orthopaedics. A foot abduction brace is then used to prevent relapse.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Paediatric: Ponseti method?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.