Congenital talipes equinovarus, more commonly known as clubfoot, is a idiopathic congenital birth defect that affects in 1 in 1000 births. 1 The most widely used and well known treatment is the Ponseti method commonly followed by an Achilles tenotomy. This method is effective on roughly 90% of all cases. The severity of this idiopathic birth defect can be scored using a few different methods. T...

<p class="abstract"><strong>Background:</strong> Different treatment methods were tried with variable success rates but Ponseti method of serial casting and manipulation stood apart due to better understanding foot biomechanics became accepted choice worldwide.</p><p class="abstract"><strong>Methods:</strong> 50 patients enrolled in the study out which ...

PURPOSE To evaluate the long-term outcome of clubfoot correction following differential distraction using the Joshi external stabilisation system (JESS). METHODS 13 male and 9 female patients aged 1.5 to 5 years with 28 idiopathic clubfeet underwent differential distraction using JESS for relapsed deformity after posteromedial soft-tissue release. They were available for review after a mean o...

We have modified the Ponseti casting technique by using a below-knee Softcast instead of an above-knee plaster of Paris cast. Treatment was initiated as soon as possible after birth and the Pirani score was recorded at each visit. Following the manipulation techniques of Ponseti, a below-knee Softcast was applied directly over a stockinette for a snug fit and particular attention was paid to cr...

OBJECTIVE To compare the surgical results of modified posteromedial release with modified complete subtalar release in resistant congenital clubfoot in a randomized controlled trial MATERIAL AND METHOD Eighty six children with 128 clubfeet, at an average of 5.9 months old (3-12 months) were operated on between 1996 and 2006 by a single surgeon. They were randomized into two groups. Group A, t...