title: [Clubfoot treatment: Implementation of the Ponseti method in emerging countries].
abstract: Idiopathic clubfoot is one of the most frequent congenital deformities throughout the world. The Ponseti method is the gold standard for its treatment. This simple, low-cost method is very effective and very appropriate for countries with resource-limited or otherwise precarious health services. It is based on correction of the deformity by successive castings associated with a percutaneous Achilles tenotomy and then foot abduction bracing to maintain the correction. The Ponseti method is now well implemented in most emerging countries, largely due to internet development, but some barriers still limit its diffusion. This study aims to determine the principal barriers, to suggest some improvements, and to stress the essential points of its effective utilization by non-physicians.
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital d'instruction des armées Desgenettes, 108, Boulevard Pinel, 69003 Lyon, France.
authors.forename: F
authors.initials: F
authors.lastname: Vigouroux
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital d'instruction des armées Desgenettes, 108, Boulevard Pinel, 69003 Lyon, France.
authors.forename: A
authors.initials: A
authors.lastname: Bertani
authors.affiliation: Service d'orthopédie pédiatrique, hôpital Femme-Mère-Enfant, Lyon, France.
authors.forename: V
authors.initials: V
authors.lastname: Cunin
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital d'instruction des armées Percy, Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Mathieu
authors.affiliation: Service d'orthopédie pédiatrique, hôpital Timone-Enfant, Marseille, France.
authors.forename: F
authors.initials: F
authors.lastname: Launay
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital d'instruction des armées Desgenettes, 108, Boulevard Pinel, 69003 Lyon, France.
authors.forename: F
authors.initials: F
authors.lastname: Rongieras
mesh_terms: D002370:Casts, Surgical; D002675:Child, Preschool; D003025:Clubfoot / Q000628:therapy*; D003131:Combined Modality Therapy; D003906:Developing Countries; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods
keywords: Ponseti; clubfoot; emergent country