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Updated: Feb 19, 2026

Evaluating the Function of the Foot Core System in the Elderly
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Clubfoot relapse: does presentation differ based on age at initial relapse?

S T Mahan1, S A Spencer1, C J May1

  • 1Department of Orthopaedics, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, USA.

Journal of Children'S Orthopaedics
|October 31, 2017
PubMed
Summary
This summary is machine-generated.

Idiopathic clubfoot relapse before age two is linked to poor brace adherence. For early relapses, bracing adherence does not impact future recurrence risk in children treated with the Ponseti method.

Keywords:
ClubfootPonsetibracingrecurrencerelapsetalipes equinovarus

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Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Clubfoot Treatment

Background:

  • The Ponseti method is standard for idiopathic clubfoot.
  • Predicting relapse and optimal bracing duration remains challenging.
  • Extended bracing may not be necessary for all patients.

Purpose of the Study:

  • To compare bracing patterns and relapse timing in idiopathic clubfoot.
  • To identify predictable patterns in clubfoot recurrence.
  • To inform optimal bracing strategies post-Ponseti treatment.

Main Methods:

  • Retrospective analysis of 70 patients with idiopathic clubfoot experiencing relapse after Ponseti treatment.
  • Data collection on demographics, treatment adherence, and brace adherence.
  • Comparison of patients relapsing before vs. after age two.

Main Results:

  • 56% of patients relapsed before age two; 44% relapsed after age two.
  • Patients relapsing before age two showed significantly lower brace adherence (28%) compared to those relapsing after age two (74%) (p < 0.001).
  • Subsequent relapse occurred in 69% of patients with initial relapse before age two.

Conclusions:

  • Early recurrence (before age two) of idiopathic clubfoot is associated with significantly higher rates of bracing non-adherence.
  • Bracing adherence does not influence the likelihood of subsequent recurrence after an initial relapse before age two.
  • Findings suggest a need to re-evaluate universal bracing recommendations up to age four.