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Mid-term results show effectiveness of Ponseti method for idiopathic clubfoot
Porecha M. J Orthop Surg Res. 2011. doi:10.1186/1749-799X-6-3.
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The Ponseti method shows excellent functional results using the Ponseti Score System in nearly 90% of patients treated for congenital idiopathic clubfoot at a mean follow-up of 5 years, according to the results of this prospective study.
To determine the mid-term effectiveness of the Ponseti method for congenital idiopathic clubfoot, researchers studied 49 patients with the condition who were treated by a single surgeon using the correction method during a 4-year period.
At mean follow-up of 5 years, parents of 44 patients described their children’s feet as normal or near-normal. The researchers found that 14 patients had a relapse after the initial Ponseti casting. Of these, nine patients were later corrected and five were resistant to correction.
“Poor compliance with the Denis Browne splint was thought to be the main cause of failure in these patients,” the researchers wrote.