This paper will present a simple, low cost orthotic device designed to be used in underserved areas of the world that is capable of achieving the sequential correction of clubfoot in the newborn that is currently managed almost universally utilizing Ponseti casting. Despite the widely acknowledged efficacy of the serial casting developed by Dr. Ponseti in the 1950s, there are circumstances wher...

Club foot – or, more correctly, congenital talipes equinovarus (CTEV) 1 – describes a specific foot deformity of midfoot cavus, forefoot adduction, hindfoot varus and equinus. The World Health Organisation has estimated that 100’000 children are born with CTEV, with 80% occurring in the developing world. 2 Ignacio Ponseti died on October 18 2009 aged 95. He was a pioneer in paediatric ort...

BACKGROUND The Ponseti method is the preferred treatment for idiopathic clubfoot. Although popularised by orthopaedic surgeons it has expanded to physiotherapists and other health practitioners. This study reviews the results of a physiotherapist-led Ponseti service for idiopathic and non-idiopathic clubfeet and compares these results with those reported by other groups. METHOD A prospective ...

Background: The aim of this study was to evaluate the idiopathic congenital clubfoot deformity treated by Ponseti method to determine the different factors such as radiological investigations that may have relations with the risk of failure and recurrence in mid-term follow-up of the patients. Methods: Since 2006 to 2011, 226 feet from 149 patients with idiopathic congenital clubfoot were treat...

PURPOSE The aim of this study was two-fold: (1) to determine if radiographic measures can be reliably made in infants being treated with the Ponseti method and (2) to document radiographic changes before and after Achilles tenotomy. METHODS A retrospective radiographic and chart review was performed on children with clubfoot treated by the Ponseti method at a single institution over a 10-year...

BACKGROUND The aim of this study was to evaluate the idiopathic congenital clubfoot deformity treated by Ponseti method to determine the different factors such as radiological investigations that may have relations with the risk of failure and recurrence in mid-term follow-up of the patients. METHODS Since 2006 to 2011, 226 feet from 149 patients with idiopathic congenital clubfoot were treat...

Introduction Ponseti method has become the main treatment modality for the management of clubfoot producing good long-term results. However, variation in cast application post tenotomy has not been evaluated. Methods A prospective cohort study involving 40 patients with 67 clubfeet were randomized into two groups: 32 above knee cast (AKC) and 35 below knee cast (BKC) after percutaneous tenoto...

The Ponseti method of clubfoot management requires a period of bracing in order to maintain correction. This study compared the effectiveness of ankle foot orthoses and Denis Browne boots and bar in the prevention of recurrence following successful initial management. Between 2001 and 2003, 45 children (69 feet) with idiopathic clubfeet achieved full correction following Ponseti casting with or...

Clubfoot (talipes equinovarus) is a three-dimensional deformity of unknown etiology. Treatment aims at correction to obtain a functional, plantigrade pain-free foot. The "French" functional method involves specialized physiotherapists. Daily manipulation is associated to immobilization by adhesive bandages and pads. There are basically three approaches: the Saint-Vincent-de-Paul, the Robert-Deb...