rnationally to use the method successfully.

The difference between Dobbs' method and casting techniques tried in the past is in the way forces are applied to the foot and the way the casts are molded, he says.

"What has previously been lacking in any cast treatments for CVT is a lack of understanding by orthopaedists as to how the joints in the foot move and work together," Dobbs says. "Now, thanks to the work of Ignacio Ponseti, we do have a better understanding of the mechanics of the foot and ankle which has made it possible to figure out how best to gradually correct the deformity in CVT."

The treatment is based on principles developed in the 1950s for clubfoot, another congenital foot deformity. Ignacio Ponseti, M.D., professor emeritus of orthopaedics and rehabilitation at the University of Iowa, pioneered a method that called for weekly casting and manipulation of the foot starting soon after birth. When done correctly, the Ponseti method has greatly reduced the need for extensive surgery, and as a result, has improved the long-term outcomes for clubfoot patients. Extensive surgical releases for clubfoot can result in feet that are painful and arthritic in adulthood, which is something that is not often seen in clubfoot patients treated successfully with the Ponseti method.

"Our ultimate goal is that our new minimally invasive treatment for CVT will result in better long-term outcomes for patients just as the Ponseti method has done for clubfoot," Dobbs says.

Source-Newswise/B
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