Treatment of idiopathic clubfoot using the Ponseti method: minimum 2-year follow-up.
One hundred and thirty-seven idiopathic clubfeet were treated by the Ponseti technique and followed for at least 2 years. Nine feet (7%) were not corrected with initial casting and required early surgery. Recurrence after correction was related to compliance with bracing. At latest follow-up, two-thirds of those noncompliant with brace had recurrences with one-third of these recurrences requiring more extensive surgery than Achilles tenotomy and anterior tibial tendon transfer while only 14% of those compliant with brace had recurrences with none requiring more than Achilles tenotomy and anterior tibial tendon transfer. Early failures and recurrences constituted about 20% of our 137 feet by 2 years of follow-up. When the Ponseti method was fully followed, including initial casting, compliance with brace and treatment of recurrences by recasting, Achilles tenotomy and/or anterior tibial tendon transfer, our success rate was 93%.
Abdelgawad
Amr Atef
AA
New York Ponseti Clubfoot Center at the Center for Children, NYU Hospital for Joint Diseases, 301 E. 17th Street, New York, NY 10003, USA.
Lehman
Wallace B
WB
van Bosse
Harold J P
HJ
Scher
David M
DM
Sala
Debra A
DA
D001915:Braces; D003025:Clubfoot / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019637:Orthopedic Procedures; D010349:Patient Compliance; D012008:Recurrence