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Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method
Jose A Morcuende1, Lori A Dolan, Frederick R Dietz
1Department of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa, USA. jose-morcuende@uiowa.edu
Objectives:
The purpose of this study was to evaluate the efficacy of the Ponseti method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot.
Methods:
Consecutive case series were conducted from January 1991 through December 2001. A total of 157 patients (256 clubfeet) were evaluated. All patients were treated by serial manipulation and casting as described by Ponseti. Main outcome measures included initial correction of the deformity, extensive corrective surgery rate, and relapses.
Results:
Clubfoot correction was obtained in all but 3 patients (98%). Ninety percent of patients required
Conclusions:
The Ponseti method is a safe and effective treatment for congenital idiopathic clubfoot and radically decreases the need for extensive corrective surgery. This technique can be used in children up to 2 years of age even after previous unsuccessful nonsurgical treatment.