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A method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot

Lehman, Wallace B.; Mohaideen, Ahamed; Madan, Sanjeev; Scher, David M.; Van Bosse, Harold J. P.; Iannacone, Michelle; Bazzi, Jamal S.; Feldman, David S.

Journal of Pediatric Orthopaedics B: March 2003 - Volume 12 - Issue 2 - p 133-140

The Ponseti casting technique is reported to have a high success rate in the treatment of idiopathic clubfoot. Non-operative treatment of clubfoot provides a lower complication rate, less pain, and higher function as the patient ages than operative treatment. To demonstrate serial post-treatment change in clubfeet over time, three clubfoot rating systems were utilized in the current study. Patients compliant with the Ponseti technique and treated before the age of 7 months, had a 92% success rate at an early follow-up after casting was completed. It is not the purpose of this article to analyze the long-term clubfoot treatment result but to establish tools which can be used to judge initial success with the Ponseti technique. Complications are few and minor, limited to equipment used and cast technique.

Pediatric Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, USA

Correspondence and requests for reprints to Wallace B. Lehman MD, Chief, Emeritus, Department of Pediatric Orthopaedic Surgery, NYU-Hospital for Joint Diseases, 301 E. 17th Street, New York, NY 10003, USA.

Tel: +1 212 598 6403; fax: +1 212 598 6084;


© 2003 Lippincott Williams & Wilkins, Inc.