The Ponseti technique for treatment of talipes equinovarus.
Traditional treatment for clubfoot usually includes initial casting and an extensive posterior medial soft tissue release with biplanar pinning, followed by more casting. This treatment has significant risks, complications, and the potential for a poorer prognosis as the patients age, usually with stiff and scarred feet. In contradistinction, Ignacio Ponseti has been using his unique technique of clubfoot manipulation, casting, and Achilles tenotomy for more than 50 years with a high degree of success. Currently, there are many peer-reviewed and independently verified studies that replicate his success in treating clubfoot. This technique is easy to learn and is becoming the accepted treatment of idiopathic clubfoot all over the world.
Silvani
Stephen
S
Orthopedic Department, The Permanente Medical Group and Kaiser Foundation Hospital at Walnut Creek, CA 94596, USA. Stephen.silvani@kp.org
D000125:Achilles Tendon / Q000601:surgery; D002370:Casts, Surgical; D003025:Clubfoot / Q000145:classification / Q000628:therapy*; D006801:Humans; D007223:Infant; D026201:Musculoskeletal Manipulations; D011032:Podiatry / Q000379:methods*; D012775:Shoes