Journal of Clinical and Experimental Investigations

Abstract

Objectives: The purpose of this study was to evaluate our result in patients with congenital clubfoot deformity who had been treated with Ponseti’s technique.
Materials and methods: The study included 28 patients (18 males, 10 females, mean age 2.2 months; range 6 days to 5 months). All patients had Dimeglio grade II, III, and IV deformities. All patients had manipulation and casting according to the Ponseti’s technique. Achilles tenotomy was performed in the persistent equines. Maintenance of correction was obtained with the use of foot abduction orthosis. Mean follow-up period was 17 months (range 6-36 months).
Results: Forty-one feet of 28 patients were treated according to the Ponseti’s technique. Achilles tenotomy was performed in 31 feet (81%). Posterior release was not performed in any patient. Although, correction was maintained in all feet at the beginning, 14 feet (31%) were relapsed. The relapses were due to decreased compliance to foot abduction orthoses.
Conclusion: Ponseti technique is an effective, and reliable in correction of idiopatic congenital clubfoot deformity. The results also suggest that the role of family education to enhance compliance to brace application and experienced orthotist are important to prevent relapses.