It is a congenital deformity involving one or both feet. The affected foot appears rotated internally at ankle. The person appears to walk on their ankles. Approximately 50% are bilateral. It occurs commonly in female i.e. 2:1
· Edward syndrome (extra chromosome on 13 number)
Need in 80% cases
b. Anterior tibial tendon transfer:
The tendon is moved from first toe to 3rd in order to release inward traction on foot.
c. Ponsiti method:
It is a conservative approach in which serial cast applied over 4 weeks then Mini incision in Achilles tendon.Physiotherapy