How does Ponseti method work?
In the casting phase (also called the “correction phase”), a baby wears casts that gently move the foot into the correct position. The first cast is put on by an orthopedic surgeon trained in the Ponseti method a week or two after the baby is born.
How long does Ponseti method last?
Casting by an orthopedic surgeon who has been trained in the Ponseti method usually starts when a baby is a week or two old, and lasts for 5 to 7 weeks. When the foot is in its final, correct position, the baby is fitted with a brace.
Is the Ponseti method painful?
This procedure occurs in the doctor’s office and takes just a few minutes to perform. Your child’s doctor applies a local anesthetic to the foot, so your baby feels no pain.
When was the Ponseti method developed?
Ponseti developed his method for the conservative treatment of clubfoot at the University of Iowa in the 1950’s, but it remained largely confined to Iowa until around 1997. It has since spread widely around the world. Clubfoot (CF) is a common congenital deformity affecting approximately 1-2 per 1000 live births.
How effective is Ponseti method?
The initial correction rate for all patients with the Ponseti technique was 20/21 feet (95.2%) and recurrence was noted in 7/21 feet (33.3%). One patient underwent primary posteromedial release and 2 patients had associated neurological deficits.
Why is it better to correct a clubfoot?
A clubfoot isn’t painful and won’t cause health problems until a child begins to stand and walk. But clubfoot that isn’t treated can lead to serious problems — and even make a child unable to walk. So it’s very important to begin to correct it quickly, ideally a week or two after birth.
How do you manipulate clubfoot?
The Ponseti Technique
- Stabilizing the talus by placing the thumb over the lateral part of its head.
- Elevating the first ray to achieve supination of the forefoot in respect to the mid foot and hind foot.
- Putting on a well-padded plaster cast by holding this position and molding it well.