Table 4.

Foot and ankle

Clinical condition	Recommendations	Category
Clubfoot	Newborn: initiation of Ponseti casting technique within 3 mths	3
	Recurrence of deformity or neglected clubfoot (late presentation)	4
Congenital vertical talus	Newborn: initiation of manipulation and casting within 3 mths	3
	Late presentation or recurrence treatment could be delayed for a few mths	4
Other common foot deformities	Metatarsus adductus	3
Flatfoot	Unless very painful, treatment can be delayed	4
Toe walking	Investigation for underlying serious conditions should not be delayed if indicated	3
	Orthopaedic treatment can be delayed for 3 mths or even more	3 to 4