Clubfoot in an otherwise normal child can be corrected using the Ponseti Method of manipulation and plaster cast applications, with minimal or no surgery Treatment should begin in the first week or two of life in order to take advantage of the elasticity of the tissues that form the ligaments and tendons in the footTreatment of Congenital Club Foot Treatment of Congenital Club Foot J Bone Joint Surg Am 1992 Mar;74(3) Author I V Ponseti 1 Affiliation 1 Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City PMIDThe Ponseti Method was developed by Dr Ignacio Ponseti at the University of Iowa, where Paul Harris received his law degree is recognized as the "gold standard" for correcting clubfoot worldwide, including the American Academy of Orthopedic Surgeons and many others is a lowcost, lowrisk, nonsurgical, highly effective treatment
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Ponseti clubfoot treatment
Ponseti clubfoot treatment-The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery It was developed by Ignacio V Ponseti of the University of Iowa Hospitals and Clinics, USA in the 1950s, and was repopularized in 00 by John Herzenberg in the USA and Europe and in Africa by NHS surgeon Steve Mannion It is a standard treatment for clubfootThe Ponseti method has become the gold standard of care for the treatment of congenital club foot Despite numerous articles in MEDLINE reporting results from around the globe there are still crucial details of the Ponseti method which seem to be
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Of Ponseti International Association narrated the video Mission & Vision Mission to provide global leadership in building highquality, locallydirected, and sustainable capacity to deliver the Ponseti clubfoot care pathway at the country level Vision a world free of clubfoot disabilityIn Ponseti and Smoley's experiment, Ponseti and Smoley had a team of physicians treat patients with clubfoot using the Ponseti method, which consisted of manually manipulating each patient's foot into a more desirable position and subsequently casting each foot to heal in place After following up with the patients for several years, Ponseti and Smoley concluded that the Ponseti Bilateral clubfoot deformities in a fivedayold male infant treated with the application of ten plaster casts in a period of two months A recurrence of the equinus deformity at one year of age was treated by the application of two toetogroin plaster casts and subcutaneous tenotomy All the components of the clubfoot deformity recurred at three years of age Three
The Ponseti method has become the gold standard of care for the treatment of congenital club foot Despite numerous articles in MEDLINE reporting results from around the globe there are still crucial details of the Ponseti method which seem to be less The Ponseti method is the preferred method for initial treatment in all clubfeet Idiopathic feet can be fully corrected in 6 to 7 weeks Nonidiopathic clubfeet take longer to be corrected with this method, and full correction can be expected in 50% of feet In cases of incomplete correction, theThis Classic article is a reprint of the original work by Ignacio V Ponseti and Eugene N Smoley, Congenital Club Foot The Results of Treatment An accompanying biographical sketch on Ignacio V Ponseti, MD, is available at DOI /s and a second Classic article is available at /s This article is ©1963 by the Journal of Bone and Joint
2 Why use the Ponseti method for Clubfoot treatment in China? Ponseti clubfoot treatment has become more popular during the last decade because of its high initial correction rate But the most common problem affecting the longterm successful outcome is relapse of the deformity Noncompliance with Ponseti brace protocol is a major problem associated with relapse Although more comfortable braces have been reportedPonseti Method "Parents of infants born with clubfeet may be reassured that their baby, if otherwise normal, when treated by expert hands will have normal looking feet with normal function for all practical purposes The well treated clubfoot is no handicap and is fully compatible with normal, active life" Ignacio Ponseti, MD
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Clubfoot children are often abandoned or face a future in poverty By correcting their feet, they get the opportunity to live a normal life The Ponseti method is a very effective and relatively inexpensive treatment with good long term resultsThe Ponseti Method Most orthopaedic surgeons agree that the primary treatment for clubfoot in young children should be conservative The treatment technique with the most scientific evidence supporting its effectiveness is the Ponseti method (5) Compared to surgical and other conservative techniques, the Ponseti method has been found to have the best long term— Foot Abduction Brace (FAB) or BNB (Boots & Bar) — ADM (Abduction Dynamic Movement) Brace — Bracing Exchanges & Aid
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