Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 426-431 , September 2010

Treatment of Clubfoot with the Ponseti Method: Should We Begin Casting in the Newborn Period or Later?

  • Serkan İltar, MD

      Affiliations

    • Ankara Training and Research Hospital, Department of Second Orthopaedics, Ankara, Turkey
  • ,
  • Mehmet Uysal, MD

      Affiliations

    • Boğazlıyan Government Hospital, Department of Orthopaedics, Ankara, Turkey
  • ,
  • Kadir Bahadır Alemdaroğlu, MD

      Affiliations

    • Ankara Training and Research Hospital, Department of Second Orthopaedics, Ankara, Turkey
    • Corresponding Author InformationAddress correspondence to: Kadir Bahadır Alemdaroğlu, MD, S.B. Ankara Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ulucanlar, Ankara, Turkey.
  • ,
  • Nevres Hürriyet Aydoğan, MD

      Affiliations

    • Ankara Training and Research Hospital, Department of Second Orthopaedics, Ankara, Turkey
  • ,
  • Talip Kara, MD

      Affiliations

    • Ankara Training and Research Hospital, Department of Second Orthopaedics, Ankara, Turkey
  • ,
  • Doğan Atlıhan, MD

      Affiliations

    • Derince Training and Research Hospital, Department of Orthopaedics, Ankara, Turkey

References 

  1. Herzenberg JE, Radler C, Bor N. Ponseti versus traditional methods of casting for idiopathic clubfoot. J Pediatr Orthop. 2002;22:517–521
  2. Alves C, Escalda C, Fernandes P, Tavares D, Neves MC. Ponseti method: does age at the beginning of treatment make a difference?. Clin Orthop Relat Res. 2009;467(5):1271–1277
  3. Avilucea FR, Szalay EA, Bosch PP, Sweet KR, Schwend RM. Effect of cultural factors on outcome of Ponseti treatment of clubfeet in rural America. J Bone Joint Surg Am. 2009;91(3):530–540
  4. Richards BS, Faulks S, Rathjen KE, Karol LA, Johnston CE, Jones SA. A comparison of two nonoperative methods of idiopathic clubfoot correction: the Ponseti method and the French functional (physiotherapy) method. J Bone Joint Surg Am. 2008;90(11):2313–2321
  5. Göksan SB. Treatment of congenital clubfoot with the Ponseti method. [Turkish] Acta Orthop Traumatol Turc. 2002;36(4):281–287
  6. Gupta A, Singh S, Patel P, Patel J, Varshney MK. Evaluation of the utility of the Ponseti method of correction of clubfoot deformity in a developing nation. Int Orthop. 2008;32:75–79
  7. Tindall AJ, Steinlechner CW, Lavy CB, Mannion S, Mkandawire N. Results of manipulation of idiopathic clubfoot deformity in Malawi by orthopaedic clinical officers using the Ponseti method: a realistic alternative for the developing world?. J Pediatr Orthop. 2005;25(5):627–629
  8. Pirani S, Naddumba E, Mathias R, Konde-Lule J, Penny JN, Beyeza T, et al. Towards effective Ponseti clubfoot care: the Uganda Sustainable Clubfoot Care Project. Clin Orthop Relat Res. 2009;467(5):1154–1163
  9. Ponseti IV, Smoley EN. Congenital club foot: the results of treatment. J Bone Joint Surg Am. 1963;45:261–344
  10. Dobbs MB, Gurnett CA. Update on clubfoot: etiology and treatment. Clin Orthop Relat Res. 2009;467(5):1146–1153
  11. Dogan A, Kalender AM, Seramet E, Uslu M, Sebik A. Mini-open technique for the Achilles tenotomy in correction of idiopathic clubfoot: a report of 25 cases. J Am Podiatr Med Assoc. 2008;98(5):414–417
  12. Ponseti IV. Treatment of congenital clubfoot. J Bone Joint Surg Am. 1992;74(3):448–454
  13. Spiegel DA, Shrestha OP, Sitoula P, Rajbhandary T, Bijukachhe B, Banskota AK. Ponseti method for untreated idiopathic clubfeet in Nepalese patients from 1 to 6 years of age. Clin Orthop Relat Res. 2009;467(5):1164–1175
  14. Abbas M, Qureshi OA, Jeelani LZ, Azam Q, Khan AQ, Sabir AB. Management of congenital talipes equinovarus by Ponseti technique: a clinical study. J Foot Ankle Surg. 2008;47(6):541–545
  15. Ponseti IV, Campos J. Observations on pathogenesis and treatment of congenital clubfoot. Clin Orthop Relat Res. 1972;84:50–60
  16. Thacker MM, Scher DM, Sala DA, van Bosse HJ, Feldman DS, Lehman WB. Use of the foot abduction orthosis following Ponseti casts: is it essential?. J Pediatr Orthop. 2005;25(2):225–228
  17. Göksan SB, Bursali A, Bilgili F, Sivacioğlu S, Ayanoğlu S. Ponseti technique for the correction of idiopathic clubfeet presenting up to 1 year of age. A preliminary study in children with untreated or complex deformities. Arch Orthop Trauma Surg. 2006;126(1):15–21
  18. Changulani M, Garg NK, Rajagopal TS, Bass A, Nayagam SN, Sampath J, et al. Treatment of idiopathic club foot using the Ponseti method. Initial experience. J Bone Joint Surg Br. 2006;88(10):1385–1387
  19. Dobbs MB, Rudzki JR, Purcell DB, Walton T, Porter KR, Gurnett CA. Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg Am. 2004;86(1):22–27
  20. Bor N, Herzenberg JE, Frick SL. Ponseti management of clubfoot in older infants. Clin Orthop Relat Res. 2006;444:224–228
  21. Colburn M, Williams M. Evaluation of the treatment of idiopathic clubfoot by using the Ponseti method. J Foot Ankle Surg. 2003;42(5):259–267
  22. Laaveg SJ, Ponseti IV. Long-term results of treatment of congenital club foot. J Bone Joint Surg Am. 1980;62(1):23–31
  23. Lourenço AF, Morcuende JA. Correction of neglected idiopathic club foot by the Ponseti method. J Bone Joint Surg Br. 2007;89:378–381
  24. Bor N, Coplan JA, Herzenberg JE. Ponseti treatment for idiopathic clubfoot: minimum 5-year follow up. Clin Orthop Relat Res. 2009;467(5):1263–1270
  25. Garg S, Dobbs MB. Use of the Ponseti method for recurrent clubfoot following posteromedial release. Indian J Orthop. 2008;42:68–72
  26. Hegazy M, Nasef NM, Abdel-Ghani H. Results of treatment of idiopathic clubfoot in older infants using the Ponseti method: a preliminary report. J Pediatr Orthop B. 2009;18(2):76–78
  27. Diméglio A, Bensahel H, Souchet P, Mazeau P, Bonnet F. Classification of clubfoot. J Pediatr Orthop B. 1995;4(2):129–136
  28. Pirani S, Outerbridge HK, Sawatzky B, Stothers K. A reliable method of clinically evaluating a virgin clubfoot evaluation. 21st SICOT (Société Internationale de Chirurgie Orthopédique et de Traumatologie) conference, 1999, Sidney, Australia.
  29. Staheli L. Clubfoot: Ponseti Management. ed 3. Seattle: Global HELP Organization; 2009;
  30. Işıkman E. Kemik yaşı. Türkiye Klinikleri. 1982;2(3):247–250
  31. Ponseti IV, Zhivkov M, Davis N, Sinclair M, Dobbs MB, Morcuende JA. Treatment of the complex idiopathic clubfoot. Clin Orthop Relat Res. 2006;451:171–176
  32. Morcuende JA, Egbert M, Ponseti IV. The effect of the internet in the treatment of congenital idiopathic clubfoot. Iowa Orthop J. 2003;23:83–86
  33. Scher DM, Feldman DS, van Bosse HJ, Sala DA, Lehman WB. Predicting the need for tenotomy in the Ponseti method for correction of clubfeet. J Pediatr Orthop. 2004;24:349–352
  34. Dyer PJ, Davis N. The role of the Pirani scoring system in the management of clubfoot by the Ponseti method. J Bone Joint Surg Br. 2006;88(8):1082–1084

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(10)00265-6

doi: 10.1053/j.jfas.2010.06.010

Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 426-431 , September 2010