Background. Clubfoot has from long been an unsolved clinical challenge for the orthopedic surgeons. It is one of the commonest congenital deformities in. The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. It was developed by Ignacio V. Ponseti of the. Using the Ponseti method, the foot deformity is corrected in stages. These stages are as follows: manipulating the foot to an.

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It requires meticulous and dedicated effort on the part of treating physician and parents for the correction of the deformity [13]. The correction of heel varus and ankle equinus is takes place simultaneously because of coupling of the tarsal bones.

A clinical, genetic and epidemiologic study of congenital clubfoot.

Ponseti method – Wikipedia

In fact, it was a pioneer British pediatric surgeon – Sir Denis Browne — who hypothesized that this malformation is due to abnormal position of fetus during gestation. Predicting the need for tenotomy in the Ponseti method for correction of clubfeet. Early amniocentesis 11—13 wks is believed to increase the rate of clubfoot because there is an increase in potential amniotic leakage from the procedure. J Foot Ankle Surg.

The Ponseti Method: Casting Phase (for Parents)

We put up clubfoot awareness posters during Pulse Polio programs and trained the supervisors at these camps to screen for the deformity in each child, report those cases and refer them to our hospital as soon as possible. This is a prospective observational study, conducted in a tertiary hospital. Please help improve this article by adding citations to reliable sources. Long-term comparative results in patients with congenital clubfoot treated with two different protocols.


We followed a protocol according to the Ponseti casting technique Fig. A thirty-year follow-up note. The non-operative treatment will succeed pobseti if it is started a few days or weeks after birth and if the podiatrist understands the nature of the deformity and possesses manipulative skill and expertise in plaster-cast applications.

The physicians and personnel trained in this technique can manage the cases effectively with the cast treatment only.

Ponseti method

The parents of our study group reported that initial two or three days were the critical period, during which patients were restless and tried to remove the splint. Surgery was more common prior to the widespread acceptance of the Ponseti Method.

There is nearly universal agreement that the initial treatment of the clubfoot should be non-operative regardless of the severity of the deformity. All the studies show that tenotomy was required in those patients who initially have severe deformity. Please review our privacy policy.

Long-term results of treatment of congenital clubfoot. Then, the cast is put on to hold that new position until it’s time for the next cast.

For specific medical advice, diagnoses, and treatment, consult your doctor. The manipulative treatment of clubfoot deformity is based on the inherent properties of the connective tissue, cartilage, and bone, which respond to the proper mechanical stimuli created by the gradual reduction of ponsfti deformity.

Ponseti Technique in the Treatment of Clubfoot

The parents can soak these casts for 30—45 minutes prior to removal with a plaster knife. The orthosis, was applied for 23 hours per day, for the first three months and then at night time only for two to four years.


It will heal while the child wears the final cast for about 3 weeks. Fourteen children had bilateral whereas 25 children had unilateral clubfoot. The French method differs from the Ponseti method in that the taping techniques allow some motion in the feet.

This page was last edited on 21 Septemberat A very tight tendon by the baby’s heel is loosened or “released” when the surgeon makes a small cut in it. Twenty six were males and 12 were females. The amount of casts varies from person to person to address each individual’s characteristic needs. The Ponseti casting technique of club foot management has been shown to be effective, producing better results and fewer complications than traditional surgical methods. Ponseti versus traditional methods of casting for idiopathic clubfoot.

Feet grow a lot and very quickly in the first years of life. Table 2 Pre and post treatment Pirani scores evaluated by Wilcoxon signed rank test. Clubfoot is a birth defect where one or both feet are rotated inwards and downwards.

We agree with most of the authors that correction of the foot also depends on the brace protocol [6,7,13,14,17].