UNLABELLED The Ponseti method is reportedly effective for treating clubfoot in children up to 9 years of age. However, whether age at the beginning of treatment influences the rate of successful correction and the rate of relapse is unknown. We therefore retrospectively reviewed 68 consecutive children with 102 idiopathic clubfeet treated by the Ponseti technique in four Portuguese hospitals. W...

We report our experience of using the Ponseti method for the treatment of congenital idiopathic clubfoot. From August 2007 to July 2010 we treated 107 feet in 79 patients by this method with the mean follow-up time of 15 months (6 to 24). The standard protocol described by Ponseti was used except that, when necessary, percutaneous tenotomy of tendo-achillis were performed under general anaesthe...

Aim : Correlation of Pirani score and Foot bimalleolar (FBM) angle in the treatment of idiopathic congenital talipes equino varus (CTEV) by Ponseti method in infants. Material and Methods : 35 feet with idiopathic CTEV deformity<1 year were prospectively treated by Ponseti method. Deformity evaluated each successive week of treatment by Pirani score and FBM angle. Feet were divided according to...

The Pirani scoring system, together with the Ponseti method of club foot management, was assessed for its predictive value. The data on 70 idiopathic club feet successfully treated by the Ponseti method and scored by Pirani's system between February 2002 and May 2004 were analysed. There was a significant positive correlation between the initial Pirani score and number of casts required to corr...

INTRODUCTION Congenital peripheral constriction ring originating from soft tissues of the leg that is characterized with compression in the soft tissue usually involving the deep fascia surrounding the leg at the time of birth is occasionally observed in lower extremity. At the region of the constriction, fractures of tibia and fibula and foot deformities like clubfoot can be observed. CASE P...

We reviewed the results of a selective à la carte soft-tissue release operation for recurrent or residual deformity after initial conservative treatment for idiopathic clubfoot by the Ponseti method. Recurrent or residual deformity occurred in 13 (19 feet) of 33 patients (48 feet; 40%). The mean age at surgery was 2.3 years (1.3 to 4) and the mean follow-up was 3.6 years (2 to 5.3). The mean Pi...

This biographical sketch of Ignacio V. Ponseti, MD, corresponds to the historic text, The Classic: Congenital Club Foot: The Results of Treatment, available at DOI 10.1007/s11999-009-0720-2 and The Classic: Observations on Pathogenesis and Treatment of Congenital Clubfoot, available at DOI 10.1007/s11999-009-0721-1.

BACKGROUND The Ponseti method of manipulation is widely used in the treatment of clubfoot. Monitoring of correction is usually based on clinical judgment, and there is a need for an objective method of evaluation. The small bones of the newborn foot are essentially cartilaginous and can be visualized well on sonography as against radiographs. METHODS A prospective study was conducted on 32 cl...

Tendo-achillis tenotomy is required as last step of ponseti method of treatment of Congenital Talipes Equino Varus (CTEV). This technical note describes a simple method of doing a percutaneous tenotomy of tendo-achillis using a wide bore needle. This is a simple method and easy to learn and gives predictable results.

Methods: Thirty-five patients (sixty clubfeet) in whom idiopathic clubfoot was treated with the Ponseti method from 1950 to 1967 were followed. At an average age of forty-seven years (range, thirty-seven to fifty-five years), the patients underwent a detailed musculoskeletal examination, radiographic evaluation, pedobarographic analysis, and surface electromyography (EMG). They also completed t...