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The Ponseti technique and improved ankle dorsiflexion in children with relapsed clubfoot: a retrospective data analysis

Marquez, Erika; Pacey, Verity; Chivers, Alison; Gibbons, Paul; Gray, Kelly

Journal of Pediatric Orthopaedics B: March 2017 - Volume 26 - Issue 2 - p 116–121
doi: 10.1097/BPB.0000000000000390

This study quantifies the change in passive ankle range of motion following modified Ponseti casting in children with relapsed idiopathic clubfoot. Fifty-three cases (feet) were retrospectively reviewed, with 6-month follow-up data available for 72% of participants. The median improvement in dorsiflexion was 15° (95% confidence interval: 12.5°–17.5°, P≤0.05), with 85% achieving dorsiflexion≥10°. At the 6-month follow-up, dorsiflexion remained significantly improved and 12 feet (32%) presented with subsequent relapse. Nine were referred for further casting and three were recommended for extra-articular surgery. Repeat modified Ponseti management clinically and statistically improves passive ankle dorsiflexion in relapsed idiopathic clubfoot.

aDepartment of Health Professions, Macquarie University

bThe Children’s Hospital at Westmead, Sydney, New South Wales, Australia

Correspondence to Kelly Gray, PhD, Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, 75 Talavera Road, Macquarie University, Sydney, 2109 NSW, Australia Tel: +61 2 9850 2795; fax: +61 2 9850 6630; e-mail:

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