This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Ponsetti technique failure in children should be managed with 
Select and explain. 
A. Posteromedial soft tissue release, B. Anterolateral soft tissue release, C. Triple ahrodesis, D. Lateral closing wedge osteotomy of calcaneum
A: Posteromedial soft tissue release
Answer: A: Posteromedial soft tissue release 
Explanation: Answer- A. Posteromedial soft tissue releaseIf treatment by manipulation and retention fails, operation should usually be undeaken before 9 months of age, mostly at 4- 6 months.The idea behind early operation is to set the tarsal bones in normal relationship to one another and to remove deforming forces, thus allowing the bones to develop in their normal shape from an early age. The procedure used is soft tissue release, i.e. postero-medial release (PMR).