<s>[INST] I have a two year old who was born with a club foot. February of this year we started the Poncetti treatment and she has had the tendon extension surgery. She has been in the boot with the abduction bar since the middle of March. It seems that when she stands she is standing on the outside of her foot. What can be done to correct this further? [/INST] Hello, If your child is still standing on outer border of foot. It means she has uncorrected club foot. Since this condition is there even after surgery two possibilities are 1. Recurrence of club feet 2. Partial correction during surgery. At 1 year of age surgery done is anteromedial soft tissue release. Type of treatment in club foot depends on age at presentation and whether any previous treatment is taken or not. You need to visit your operating surgeon or pediatric orthopedic surgeon for detailed clinical Examination and further treatment.  Hope I have answered your query. Let me know if I can assist you further. </s>