PURPOSE Non-compliance with foot abduction bracing in children with clubfeet treated with the Ponseti method is the leading risk factor for deformity recurrence. A dynamic foot abduction orthosis is believed to result in improved compliance, fewer skin complications, and fewer recurrences. A case-control trial was conducted to test this hypothesis. METHODS A prospective cohort of children wit...

We report the effect of introducing a dedicated Ponseti service on the five-year treatment outcomes of children with idiopathic clubfoot. Between 2002 and 2004, 100 feet (66 children; 50 boys and 16 girls) were treated in a general paediatric orthopaedic clinic. Of these, 96 feet (96%) responded to initial casting, 85 requiring a tenotomy of the tendo-Achillis. Recurrent deformity occurred in 3...

The Ponseti casting technique is reported to have a high success rate in the treatment of idiopathic clubfoot. Non-operative treatment of clubfoot provides a lower complication rate, less pain, and higher function as the patient ages than operative treatment. To demonstrate serial post-treatment change in clubfeet over time, three clubfoot rating systems were utilized in the current study. Pati...

AFTER PONSETI TREATMENT 1 Kerstin Bosch, 2 Stephanie Böhm, 3 Dieter Rosenbaum, 4 Shafique Pirani 1 Gaitlab, SPZ Westmünsterland, Coesfeld, Germany 2 Karolinska University Hospital, Stockholm, Sweden 3 IEMM University Hospital, Muenster, Germany 4 University of British Columbia, Canada email: [email protected] SUMMARY An interdisciplinary team of the Uganda Sustainable Clubfoot Care Project (USCCP...

Dynamic supination of the foot is a common residual deformity in children with clubfeet treated with the Ponseti method. Transfer of the anterior tibialis tendon (ATT) to the lateral cuneiform is an effective method for correcting this deformity when the cuneiform is ossified in children who are 3 to 5 years of age. We describe two cases of a previously unreported method of ATT transposition fo...