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

d inward with the top of the foot where the bottom should be. This condition can sometimes be detected in a prenatal ultrasound, but always is readily apparent at birth. Despite successful initial treatment, clubfeet have a natural tendency to recur. Regardless of medical treatment option, bracing is necessary for several years post treatment to prevent relapses, almost constantly for a few months, then typically during sleep.

The study took place in New Zealand where clubfoot is more common due to the heavy Polynesian population and the propensity for clubfoot among Polynesians. This study reviewed the two most common treatments of clubfoot:

  • Ponseti method involves weekly manipulation with above-knee casting often followed by cutting of the Achilles tendon to correct the condition; bracing is then used to maintain the correction.
  • Surgical correction involves lengthening of the Achilles tendon and release of the ankle joint, multiple joints in the foot, often with re-alignment and pinning of the bones in the foot.

More information on clubfoot symptoms and treatment can be found on www.orthoinfo.org.

About Ponseti: Ignac
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SOURCE American Academy of Orthopaedic Surgeons
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