Casting Is Effective for Recurrence Following Ponseti Treatment of Clubfoot

• DOI: 10.2106/jbjs.17.01049
• Publication Date: 2018-06-20T23:46:51Z
• Authors: Veroniek M. van P...; Magdalena Lysenko; Barbara Harvey; Rosanna Yankanah; James G. Wright
• Keywords: Ponseti Method

Up to 40% of patients with idiopathic clubfoot who are treated the Ponseti method experience recurrence deformity. Many these receive surgery (e.g., anterior tibial tendon transfer). An alternative approach for recurrent is repeat casting. The purpose this study was evaluate outcome casting in treatment clubfoot.Patients were at our hospital, between 2004 and 2012, serial bracing (the group) eligible inclusion study. group a control randomly selected seen during same period had not compared respect demographic data, age time treatment, number casts, subsequent surgical intervention(s), Disease-Specific Instrument (DSI) scale. Patients deemed have successful if they well-corrected foot (defined as dorsiflexion ≥10°, hindfoot valgus, straight lateral border) follow-up.Of total 71 clubfeet, 35 participated. At follow-up, success rates 74% 83% group. Dorsiflexion past neutral significantly higher than patient (20° versus 12°, respectively; p < 0.001). Ninety-five percent subjects border comparison 78% (p = 0.004). Likewise, 97% controls valgus 80% 0.02). There significant difference ability squat (76% 43% group; 0.03). no groups DSI.Recurrence 19% (71) 382 children typically discharged after 5 years from clinic, indicating importance continued follow-up until that age. Treatment many may be reasonable choice clubfeet.Therapeutic Level III. See Instructions Authors complete description levels evidence.