Background. Clubfoot has from long been an unsolved clinical challenge for the orthopedic surgeons. It is one of the commonest congenital deformities in. The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. It was developed by Ignacio V. Ponseti of the. Using the Ponseti method, the foot deformity is corrected in stages. These stages are as follows: manipulating the foot to an.

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Ponseti method – Wikipedia

The congenital talipes equinovarus CTEV or clubfoot is one of the most common and complex congenital deformities.

After removal of the cast, a Denis-Browne bar and shoes D-B splint was used to prevent relapse of the deformity. Give your baby sponge baths, and use disposable diapers with elasticized legs. Journal of paediatrics and child health.

The center of pressure path in treated clubfoot.

Mean follow up period was 1year 11 months range: Received Nov 20; Accepted Mar Cfev with treatment [2]. It is advisable to do tenotomy after achieving forefoot abduction Examination of the lower extremity and foot reveals the deformity, which pknseti affect one or both feet. The splint designed by Sir Denis Browne to treat clubfoot is still in use and is once again proved to be effective by Saif Ullah et al.


In the majority of the children treated by Ponseti technique, there is some equinus deformity at ankle which persists. Typically, a newborn is examined shortly after delivery with a head to toe assessment. This is because the skin that’s been covered by the casts is more sensitive than the rest of the baby’s skin.

The Ponseti Method: Casting Phase

Usefulness of Ponseti technique in management of congenital telipes equino-varus. The goal of treatment is to reduce or eliminate these deformities so that patient has a functional, pain free, plantigrade foot with good mobility without calluses and does not need to wear modified shoes [14]. Arthrogryposis Larsen syndrome Ctv syndrome. Twenty patients had bilateral and 18 had unilateral involvement.

After applying D-B splint, on a monthly basis for three months and then once every three months till the patients was three years of age. We followed a protocol according to the Ponseti casting technique Fig. Of the 58 clubfeet, 37 were rigid and 21 of non-rigid variety. A foot that shows all four components is diagnosed as having clubfoot deformity. After a clubfoot is fully posneti, kids will see their specialist for follow-up visits.


The final cast is applied with the foot in maximum dorsiflexion, and the foot is held in the cast for 2—3 weeks. Kids might fuss a little when a cast is put on. The patients were followed up on a weekly basis during the initial stages of treatment.

During the study period a total of 70 patients with clubfeet were treated and followed up diligently. Though ppnseti of our patients dropped out from follow up, follow up in one of the patients was rather irregular; this very patient eventually required further surgical treatment. Views Read Edit View history.

Then, the cast is put on to hold that new position until it’s time for the next cast. More casts were required for the rigid feet as compared to non-rigid ponsehi 5.

Ponseti treatment was introduced in UK in the late s and widely popularized around the country by NHS physiotherapist Steve Wildon.

Ponseti method

Geneticsmother who smokes cigarettes [1]. The average number of casts applied before full correction was 4. The correction takes place through the normal arc of cteb subtalar joint.