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Study Finds Ponseti Method of Clubfoot Correction Leads to Lower Surgical Rates and Less Revision Surgery
Date:2/1/2010

ad a recurrence requiring some surgery. Four of these feet had a major recurrence and 11 had a minor recurrence.
  • Fourteen feet in the surgical group required revision (follow-up) surgery.  
  • Only one foot in the Ponseti group required revision surgery.

  • Patients treated in both groups had a 30 percent to 40 percent rate of relapse. While this is a relatively high recurrence rate for both groups, feet in the Ponseti group needed significantly less invasive operative intervention and required less revision surgery.  And for patients in the surgical group who required revision surgery, it was actually a repeat procedure, which has been shown in other studies to lead to poorer function.

    "The case for Ponseti treatment is much stronger than for surgery considering Ponseti treatment involves less severe recurrence; and feet treated with too many surgeries have less favorable outcomes," said Dr. Halanski, who is now a practicing pediatric orthopaedic surgeon at the Helen DeVos Children's Hospital in Grand Rapids, Michigan and also clinical assistant professor in the Department of Surgery and Pediatrics & Human Development, Michigan State University College of Human Medicine.

    The Ponseti method has been adopted as the primary treatment for clubfoot at the children's hospital in New Zealand where the study took place.

    "Any infant born with clubfoot should be taken to an orthopaedic surgeon specializing in pediatrics, preferably within the first few months of life," concluded Dr. Halanski.  "While primary surgical treatment may still be required in select cases, we strongly advise any parent who receives a recommendation for surgery as primary treatment to seek a second opinion."

    About Clubfoot

    Clubfoot is a complex deformity in which the feet are twiste
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    SOURCE American Academy of Orthopaedic Surgeons
    Copyright©2010 PR Newswire.
    All rights reserved

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