Skip Navigation LinksHome > April/May 2011 - Volume 31 - Issue 3 > A Modified Ponseti Method for the Treatment of Idiopathic Cl...
Journal of Pediatric Orthopaedics:
doi: 10.1097/BPO.0b013e31820f7358

A Modified Ponseti Method for the Treatment of Idiopathic Clubfoot: A Preliminary Report

Xu, Rui Jiang MD

Collapse Box


Background: The regular Ponseti method for the treatment of idiopathic clubfoot requires a series of manipulations and castings at weekly intervals. It is not known whether the correction could be achieved in a shorter period of time with multiple manipulations and castings per week. This study was designed to evaluate the outcome of a modified treatment program with manipulation and casting offered twice a week.

Methods: The study included the modified group (26 patients with 40 idiopathic clubfeet treated with the Ponseti method twice a week) and the regular group (20 patients with 32 idiopathic clubfeet treated once a week). The average age of the patients at the time of treatment was 63.05 days in the regular group and 92.7 days in the modified group.

Results: All aspects of the deformity with the exception of the equinus were corrected in 20.61 days in the modified group and in 35.35 days in the regular group (P=0.0001). There were no differences between the 2 groups in the average number of casts (P=0.61). Percutaneous Achilles tenotomy was performed in 87.5% (35 of 40) of those in the modified group and 87.5% (28 of 32) of those in the regular group (P=0.47). A corrective surgery for a complete correction of the deformity was performed in 4 feet in the modified group (10%; 2 posteromedial releases; 2 posterior releases) and 3 feet in the regular group (10%; 2 posteromedial releases; 1 posterior release).

Conclusions: The modified Ponseti method with the treatment program twice a week is safe and effective. It significantly shortens the timeframe for the treatment.

Level of Evidence: The study of therapeutic studies investigating the results of the treatment is level II.

Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved.

The Pediatric Orthopaedic Society of North America (POSNA)
is a group of healthcare professionals, primarily pediatric orthopaedic surgeons, dedicated to advancing musculoskeletal care of children and adolescents. JPO is our official member journal. 
Like us on facebook and become a member today!


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.