Foot size asymmetry following Ponseti treatment versus comprehensive surgical releases for unilateral clubfeetWallace, Juanita J.a; White, Hank D.a; Augsburger, Samuel F.a; Talwalkar, Vishwas R.a,b; Muchow, Ryan D.a,b; Iwinski, Henry J.a,b; Walker, Janet L.a,bJournal of Pediatric Orthopaedics B: March 2019 - Volume 28 - Issue 2 - p 153–158 doi: 10.1097/BPB.0000000000000548 ANKLE & FOOT Abstract Author InformationAuthors Article MetricsMetrics Using age and height matched cohorts with unilateral idiopathic clubfeet (n=40 each), we retrospectively reviewed pedobarographic studies to determine the impact of treatment, Ponseti versus comprehensive surgical releases (CSR), on the foot length, width, and contact area. The foot pressures were determined by self-selected walking across a force plate. Ponseti treatment results in more symmetrical foot lengths, widths, and total contact areas with an improvement of 1.3 shoe sizes difference compared with treatment with CSR. This suggests that there is improved growth in the clubfoot in those treated with Ponseti management compared with those treated with CSR. aShriners Hospitals for Children Medical Center bDepartment of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, Kentucky, USA Correspondence to Janet L. Walker, MD, Shriners Hospitals for Children Medical Center, Lexington, KY 40508, USA Tel: +1 859 266 2101; fax: +1 859 268 5762; e-mail: firstname.lastname@example.org Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.