Treatment of idiopathic clubfoot. A thirty-year follow-up note.

138

117

Ponseti clubfoot treatment has become more popular during the last decade. We reviewed the medical records of 74 consecutive infants (117 club feet) who underwent Ponseti treatment. Minimum followup was 5 years (mean, 6.3 years; range, 5-9 years). We studied age at presentation, previous treatment, the initial severity score of the Pirani scoring system, number of casts, need for Achilles tenotomy or other surgical procedures, and brace use. We measured final ankle motion and parents' perception of outcome. Late presentation and previous nonPonseti treatment were associated with lower initial severity score, fewer casts, and less need for tenotomy.

Section: Discussionmentioning

confidence: 45%

“…The Ponseti technique has been available for more than 50 years, but only Ponseti and colleagues have reported long-term followup [7,20]. The literature otherwise contains primarily short-term followup studies.…”

Section: Discussionmentioning

confidence: 99%

Ponseti Treatment for Idiopathic Clubfoot: Minimum 5-year Followup

Bor

Coplan

Herzenberg

2009

138

117

“…Bor et al [2] observed that deviations from the Ponseti bracing recommendations were associated with a near twofold increase in additional operations. Excessive weight gain [4], parental educational level [8,12], a positive family history [8,12], and bracing noncompliance [8,9,11,21,28,31] have been identified as patient-related predictors of treatment failure.…”

Section: Discussionmentioning

confidence: 99%

Does Strict Adherence to the Ponseti Method Improve Isolated Clubfoot Treatment Outcomes? A Two-institution Review

Miller

Carry

Mark

et al. 2016

“…Despite publication of his excellent results reported in 1963 [12] and 1972 [11] and by Cooper and Dietz [3] in 1995, the Ponseti method of treatment for congenital clubfoot was not widely accepted until the late 1990s. With the publication of his comprehensive treatise, Congenital Clubfoot: Fundamentals of Treatment [10], the majority of pediatric orthopaedic surgeons began to reexamine their methods of management of this condition.…”

Section: Introductionmentioning

confidence: 99%

“…With the ''discovery'' of the Ponseti method of manipulative treatment for congenital clubfoot, pediatric orthopaedists realized this deformity could be successfully treated with nonoperative methods provided the fundamentals and principles as set out by Ponseti were adhered to [3,[10][11][12]. The Ponseti method of specific manipulative treatment became attractive because long-term outcomes demonstrated the majority of feet were pain-free, plantigrade, and functioning at a high level of activity without evidence of degenerative arthrosis [3,[10][11][12].…”

Section: Introductionmentioning

confidence: 99%

What Proportion of Patients Need Extensive Surgery After Failure of the Ponseti Technique for Clubfoot?

Willis

Al-Hunaishel

Guerra

et al. 2009

In 1948, Professor Ignacio Ponseti began a nonoperative management form of treatment for severe talipes equinovarus. This method of manipulative treatment became attractive because long-term outcomes demonstrated the majority of feet were pain-free, plantigrade, and functioning at a high level of activity without evidence of degenerative arthrosis. We retrospectively reviewed the charts of 51 children (31 boys and 20 girls; 72 feet) with idiopathic clubfeet deformity treated with the Ponseti method