Early Results of the Ponseti Method for the Treatment of Clubfoot in Distal Arthrogryposis

Update on Clubfoot: Etiology and Treatment

“…Although the Ponseti method has traditionally been applied only to individuals with idiopathic clubfoot, the Ponseti method is now being used successfully for the treatment of severe nonidiopathic clubfoot deformities such as clubfoot occurring with arthrogryposis [8], myelomeningocele [12], a host of different genetic syndromes [30], as well as neuromuscular disorders [8,30]. The method is also being applied to the treatment of complex clubfeet recently defined by Ponseti [55] and for clubfeet that have been previously treated with extensive soft tissue release surgery but have suffered a relapse [26].…”

“…One example is the development of a dynamic bar that allows independent movement of each leg rather than a solid bar. The dynamic bar has the potential to improve patient comfort thus resulting in improved bracing tolerance [8,12,30]. The rotation of the shoes on the bar is set at around 70°of external rotation for the clubfeet and around 40°of external rotation for the normal feet.…”

“…There is increasing evidence that clubfoot severity and treatment outcomes may vary by etiology [8,30]. Thus, identification of the exact etiology of clubfoot may eventually be helpful in determining both prognosis and the selection of appropriate treatment methods in an individual patient.…”

Congenital constriction ring syndrome with foot deformity: two case reports

“…They were 6 and 8 months old respectively. Although clubfeet associated with congenital annular constricting bands are rigid and treated with surgically in the previous reports, the Ponseti method of serial casting to gradually correct the deformity, combined with a percutaneous tenotomy of the Achilles tendon to correct ankle equinus followed by several years of bracing to maintain the correction, has gained widespread popularity in recent years for the treatment of idiopathic clubfoot and is becoming increasingly more widely used [9,10] and our successful results with this conservative method of Ponseti may prevent unnecessary operations in this patient group. Although the clubfeet in the present study were well corrected after 1 year of follow-up, longer follow-up is necessary to assess the continued risk of recurrence and to allow for more accurate recommendations regarding the length of time necessary for brace wear.…”

Is it Possible to Treat Recurrent Clubfoot with the Ponseti Technique After Posteromedial Release?: A Preliminary Study

“…The use of the Ponseti technique has also been expanded in recent years to nonidiopathic clubfeet as rigid as arthrogrypotic feet [4]. One variation of the Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.…”