A method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot.
The Ponseti casting technique is reported to have a high success rate in the treatment of idiopathic clubfoot. Non-operative treatment of clubfoot provides a lower complication rate, less pain, and higher function as the patient ages than operative treatment. To demonstrate serial post-treatment change in clubfeet over time, three clubfoot rating systems were utilized in the current study. Patients compliant with the Ponseti technique and treated before the age of 7 months, had a 92% success rate at an early follow-up after casting was completed. It is not the purpose of this article to analyze the long-term clubfoot treatment result but to establish tools which can be used to judge initial success with the Ponseti technique. Complications are few and minor, limited to equipment used and cast technique.
Lehman
Wallace B
WB
Pediatric Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, USA. wallace.lehman@med.nyu.edu
Mohaideen
Ahamed
A
Madan
Sanjeev
S
Scher
David M
DM
Van Bosse
Harold J P
HJ
Iannacone
Michelle
M
Bazzi
Jamal S
JS
Feldman
David S
DS
D002370:Casts, Surgical; D003025:Clubfoot / Q000175:diagnosis / Q000534:rehabilitation*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005532:Foot Deformities, Congenital / Q000175:diagnosis / Q000534:rehabilitation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome