Ponseti’s vs. Kite’s method in the treatment of clubfoot-a prospective randomised study

Perceptions Regarding Medical Management of Clubfoot in Kenya

“…These findings ties with a study by Sud et al (2008) which revealed that while using kite method, there were higher chances of relapse. This method likewise showed a preponderance of varus of the heel, which indicated initial failure to correct the deformity completely.…”

“…With Ponseti method of clubfoot correction, the joint restructure gets in their normal position and the congruency is sustained to the age of 4 to 5 years (Ponseti, 2005). On the contrary, Sud et al (2008) in a study found that clubfoot deformity tends to relapse until the child is about 7 years of age.…”

Ponseti Method: Does Age at the Beginning of Treatment Make a Difference?

“…The FAO was used for 23 hours per day for the first 3 months and then at night and during naps. Initially, we recommended 3 years of bracing, but being aware of the importance of the brace in avoiding recurrences [11,14,24,26,31,32,38], we suggested to the families to keep the brace until the child was 4 to 5 years of age. We considered the foot ''corrected'' when it was clinically possible to achieve at least 15°of dorsiflexion, 70°of abduction, a neutral or slightly valgus heel, and a straight lateral foot border.…”

Doğuştan çarpık ayakta yumuşak doku cerrahisi

“…Konservatif tedavi yön-temleri genel olarak başarı ile sonuçlanmalarına karşın, %40'ın üzerinde deformitenin tekrar oluştuğu, uzun süre alçılama gerektiği ve geniş yumuşak doku ve kemik ameliyatlarının gerekli olabileceği bildirilmiştir. [19][20][21] Cerrahi düzeltme, konservatif tedaviye yanıt vermeyen deformitelerde son şans olarak kullanılmalıdır. Her ne kadar cerrahi tedavilerle ciddi deformitelerin düzeltilebileceği öngörülse de, bu konuda literatür bilgileri net değildir.…”