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Updated: Jun 26, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Resource utilization in clubfoot management.

Matthew A Halanski1, Jen-Chen Huang, Stewart J Walsh

  • 1Helen DeVos Children's Hospital, 1425 Michigan Street NE, Suite D, Grand Rapids, MI 49503, USA. matthew.halanski@devoschildrens.org

Clinical Orthopaedics and Related Research
|January 28, 2009
PubMed
Summary

The Ponseti method for clubfoot treatment is more cost-effective than primary surgical release in both New Zealand and US healthcare systems. This study found lower overall treatment costs for the Ponseti method.

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09:01

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Published on: January 24, 2018

Area of Science:

  • Orthopedic surgery
  • Healthcare economics

Background:

  • Effective clubfoot treatment is essential for both private and socialized healthcare systems.
  • The Ponseti method is effective, but its cost-effectiveness requires further evaluation.
  • Resource utilization and cost comparison between treatment modalities are crucial for healthcare policy.

Purpose of the Study:

  • To compare the cost-effectiveness of the Ponseti method versus primary surgical release for clubfoot treatment.
  • To analyze resource use and associated costs in two distinct healthcare systems (New Zealand and US).

Main Methods:

  • Prospective cohort study comparing the Ponseti method with below-knee casting and primary surgical release.
  • Resource use and cost data were collected from New Zealand's socialized healthcare system.
  • US billing data were utilized to estimate costs within the US healthcare system.
  • Treatment of initial deformity, recurrences, and complications were included in the assessment.

Main Results:

  • The Ponseti method demonstrated greater cost-effectiveness compared to primary surgical treatment for most patients.
  • Overall treatment costs were lower in the New Zealand socialized healthcare system than in the US healthcare system.
  • Twenty-six patients (40 feet) were in the Ponseti cohort, and 29 patients (46 feet) were in the primary surgical cohort.

Conclusions:

  • The Ponseti method is a more cost-effective treatment for clubfoot than primary surgical release.
  • Healthcare system structure significantly impacts the overall cost of clubfoot treatment.
  • Findings support the adoption of the Ponseti method for improved resource allocation in clubfoot management.