Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Its been a busy week moving to new domain and new server and new platform. We still have a lot to do. The basic functionality is there, but we working long hours on the rest and awaiting the new design.
    Dismiss Notice

Ponseti Method for clubfoot

Discussion in 'Pediatrics' started by NewsBot, Jun 27, 2008.

  1. NewsBot

    NewsBot The Admin that posts the news.


    Members do not see these Ads. Sign Up.
    New From You Tube:

     
    Last edited by a moderator: Sep 22, 2016 at 7:58 AM
  2. Admin2

    Admin2 Administrator Staff Member

    Re: Ponsetti Method for clubfoot

    Related:
    Other clubfoot threads
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Early results of the Ponseti method using the Steenbek foot abduction brace: a prospective study of 95 feet.
    Bouchoucha S, Smida M, Saïed W, Safi H, Ammar C, Nessib MN, Ghachem MB.
    J Pediatr Orthop B. 2008 May;17(3):134-8.
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Treatment of clubfoot with the Ponseti method: a comparison of casting materials.
    Pittner DE, Klingele KE, Beebe AC.
    J Pediatr Orthop. 2008 Mar;28(2):250-3.
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Comparison of serial casting and stretching technique in children with congenital idiopathic clubfoot: evaluation of a new assessment system.
    Andriesse H, Hägglund G.
    Acta Orthop. 2008 Feb;79(1):53-61.
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Gait Analysis of Children Treated for Clubfoot with Physical Therapy or the Ponseti Cast Technique
    Ron El-Hawary, Lori A. Karol, Kelly A. Jeans and Stephens Richards
    The Journal of Bone and Joint Surgery (American). 2008;90:1508-1516.
     
  7. Bug

    Bug Well-Known Member

    Re: Ponsetti Method for clubfoot

    It's fantastic to see these written up given it is such a relatively easy technique.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Evaluation of the utility of the Ponseti method of correction of clubfoot deformity in a developing nation.
    Gupta A, Singh S, Patel P, Patel J, Varshney MK.
    Int Orthop. 2008 Feb;32(1):75-9.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    A Comparison of Two Nonoperative Methods of Idiopathic Clubfoot Correction: The Ponseti Method and the French Functional (Physiotherapy) Method
    B. Stephens Richards, Shawne Faulks, Karl E. Rathjen, Lori A. Karol, Charles E. Johnston, and Sarah A. Jones
    The Journal of Bone and Joint Surgery (American). 2008;90:2313-2321.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Ponseti casting: A NEW SOFT OPTION.
    Brewster MB, Gupta M, Pattison GT, Dunn-van der Ploeg ID.
    J Bone Joint Surg Br. 2008 Nov;90(11):1512-5
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Ponseti Method for Untreated Idiopathic Clubfeet in Nepalese Patients From 1 to 6 Years of Age.
    Spiegel DA, Shrestha OP, Sitoula P, Rajbhandary T, Bijukachhe B, Banskota AK.
    Clin Orthop Relat Res. 2008 Nov 6. [Epub ahead of print]
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    The Mansoura experience in the treatment of idiopathic clubfoot deformity using the Ponseti technique.
    Elshenawy EM, Hassanen EY, Ramadam AI, Ibrahim MM.
    Acta Orthop Belg. 2008 Oct;74(5):659-66.
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    What Proportion of Patients Need Extensive Surgery After Failure of the Ponseti Technique for Clubfoot?
    Willis RB, Al-Hunaishel M, Guerra L, Kontio K.
    Clin Orthop Relat Res. 2009 Jan 30. [Epub ahead of print]
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Management of congenital talipes equinovarus by ponseti technique: a clinical study.
    Abbas M, Qureshi OA, Jeelani LZ, Azam Q, Khan AQ, Sabir AB.
    J Foot Ankle Surg. 2008 Nov-Dec;47(6):541-5.
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Clubfoot Treatment: Ponseti and French Functional Methods are Equally Effective.
    Clin Orthop Relat Res. 2009 Feb 26. [Epub ahead of print]
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Effect of Cultural Factors on Outcome of Ponseti Treatment of Clubfeet in Rural America
    Frank R. Avilucea, Elizabeth A. Szalay, Patrick P. Bosch, Katherine R. Sweet and Richard M. Schwend
    The Journal of Bone and Joint Surgery (American). 2009;91:530-540.
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Pedobarographic Analysis Following Ponseti Treatment for Congenital Clubfoot.
    Sinclair MF, Bosch K, Rosenbaum D, Böhm S.
    Clin Orthop Relat Res. 2009 Feb 28. [Epub ahead of print]
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Results of treatment of idiopathic clubfoot in older infants using the Ponseti method: a preliminary report.
    Hegazy M, Nasef NM, Abdel-Ghani H.
    J Pediatr Orthop B. 2009 Mar 11. [Epub ahead of print]
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Towards Effective Ponseti Clubfoot Care: The Uganda Sustainable Clubfoot Care Project.
    Pirani S, Naddumba E, Mathias R, Konde-Lule J, Penny JN, Beyeza T, Mbonye B, Amone J, Franceschi F.
    Clin Orthop Relat Res. 2009 Mar 24. [Epub ahead of print]
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Multidisciplinary management of clubfeet using the Ponseti method in a district general hospital setting.
    Kampa R, Binks K, Dunkley M, Coates C.
    J Child Orthop. 2008 Dec;2(6):463-7.
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Comparison of Ponseti versus Surgical Treatment for Idiopathic Clubfoot: A Short-term Preliminary Report.
    Zwick EB, Kraus T, Maizen C, Steinwender G, Linhart WE.
    Clin Orthop Relat Res. 2009 Apr 7. [Epub ahead of print]
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    What proportion of patients need extensive surgery after failure of the Ponseti technique for clubfoot?
    Willis RB, Al-Hunaishel M, Guerra L, Kontio K.
    Clin Orthop Relat Res. 2009 May;467(5):1294-7.
    Is it possible to treat recurrent clubfoot with the Ponseti technique after posteromedial release?: a preliminary study.
    Nogueira MP, Ey Batlle AM, Alves CG.
    Clin Orthop Relat Res. 2009 May;467(5):1298-305.
    Correction of arthrogrypotic clubfoot with a modified Ponseti technique.
    van Bosse HJ, Marangoz S, Lehman WB, Sala DA.
    Clin Orthop Relat Res. 2009 May;467(5):1283-93.
    Ponseti method: does age at the beginning of treatment make a difference?
    Alves C, Escalda C, Fernandes P, Tavares D, Neves MC.
    Clin Orthop Relat Res. 2009 May;467(5):1271-7.
    Ponseti treatment for idiopathic clubfoot: minimum 5-year followup.
    Bor N, Coplan JA, Herzenberg JE.
    Clin Orthop Relat Res. 2009 May;467(5):1263-70.
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Comparison of Surgeon and Physiotherapist-Directed Ponseti Treatment of Idiopathic Clubfoot
    The Journal of Bone and Joint Surgery (American). 2009;91:1101-1108
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Re: Ponsetti Method for clubfoot

    Ponseti method

    The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. It was developed by Dr. Ignacio V. Ponseti of the University of Iowa Hospitals and Clinics, USA in the 1950s, and was repopularized in 2000 by Dr. John Herzenberg in the USA and Europe and in Africa by NHS surgeon Steve Mannion. It is a standard[1] for the treatment of club foot.

    1. ^ "To Parents of Children Born with Clubfeet: Orthopaedics: UI Health Topics". Uihealthcare.com. Retrieved December 18, 2011. 
     
  25. posalafin

    posalafin Active Member

    Hi

    I am a podiatry student doing a clinical placement in a rural area which also services small remote commuities. While attending a clinic in a remote community we assessed a 2 year old aboriginal boy who had been referred to podaitry by a physiotherapist with ? R) talipes equinovarus. On assessment there was a classical looking talipes equinovarus with the exception that the we could dorsiflex his ankle to the point that his toes could touch his anterior leg. We also were unable to palpate or see any sign of an achilles tendon and he severe atropy / under-development of his R) gastrocnemius / soleus muscles. Other than this he is healthy and running around the room (albeit on the lateral / dorsal aspect of his right foot) with no apparent signs of pain or discomfort.

    He had been assessed by a visiting paediatrician in late 2008 & in December 2008 travelled to a tertiary paediatric hospital where he was assessed by an orthopedic surgeon with a diagnosis of ? talipes ? tibialis anterior weakness. He was sent back to his remote community for conservative care (which appears to mean do nothing) & have an orthopedic review at the tertiary facility in December 2009.

    My question is should this child have been casted & then put in shoe braces (Ponsetti Method) or is it appropriate to do nothing and wait and see as has been done in this case? I appreciate that there may have been some compliance issues in this case, but I think they could have been adequately addressed in the community. I would be interested to hear from anybody who has had experience in managing talipes.

    Regards,

    David Kelly
     
  26. Bug

    Bug Well-Known Member

    Our OT at the hospital sometimes does an aquaplast splint for positional talipes.

    I guess in a remove community, even conservative care is difficult, you only need some sand to get into a plaster cast and have a wound start. While I think there is a great number of things that could be done, even with a soft cast, but the social factors are so huge. Is there a nurse always there, is there a podiatrist there 2-3 x a week, do they even want it treated?

    The other, is how much it had changed in the last year. When they saw him last year, was he walking, weight bearing etc, the ortho may not have noted the extend in the 10 minute visit they are afforded in current health system. If this child's parent weren't equipped for that environment to push for treatment there is always a wait and see approach. There may also have been the discussion of casting there at the hospital but the parents wanted to go home rather than stay for 6 weeks so they just have to wait for surgery which I dare say will be booked at the next review in Dec. However with his flexibility, he may still be casted at the next review. Don't forget, unless you have that little paper that says you are ponsetti trained (here in Australia) and an ortho likes you, you will not be trusted to do ponsitti casting. You "may" be trusted to fit a dennis brown bar, maybe.

    This is one of the hardest and most infuriating things about seeing complex rural patients, is the minimal amount of interventions that can be provided, and the inadequate health system setup for unemplowered patients. I understand your frustration. These are the clients that we will often try to attend the ortho appointment with to we can understand what is going on and how we can work together but we have that luxury in the community health and hospital system that is close to each other.
     
  27. NewsBot

    NewsBot The Admin that posts the news.

    Tarsal Coalitions: A Rare Differential Diagnosis of Congenital Clubfoot.
    Stocker B, Reichel H, Nelitz M.
    Z Orthop Unfall. 2009 Aug;147(4):424-426.
     
  28. NewsBot

    NewsBot The Admin that posts the news.

    A review of the Ponseti method and development of an infant clubfoot program in Vietnam.
    Evans AM, Van Thanh D.
    J Am Podiatr Med Assoc. 2009 Jul-Aug;99(4):306-16.
     
  29. NewsBot

    NewsBot The Admin that posts the news.

    The Ponseti method of treatment of congenital clubfoot--first experiences
    Chomiak J, Frydrychová M, Ostádal M, Matejícek M.
    Acta Chir Orthop Traumatol Cech. 2009 Jun;76(3):194-201.
     
  30. Admin2

    Admin2 Administrator Staff Member

     
    Last edited by a moderator: Sep 22, 2016 at 7:58 AM
  31. NewsBot

    NewsBot The Admin that posts the news.

    A comparison of two nonoperative methods of idiopathic clubfoot correction: the Ponseti method and the French functional (physiotherapy) method. Surgical technique.
    Steinman S, Richards BS, Faulks S, Kaipus K.
    J Bone Joint Surg Am. 2009 Oct 1;91 Suppl 2:299-312.
     
  32. NewsBot

    NewsBot The Admin that posts the news.

    The Press Citizen are reporting:

    Ponseti dies at 95
    Full story
     
  33. NewsBot

    NewsBot The Admin that posts the news.

    A comparison of two nonoperative methods of idiopathic clubfoot correction: the Ponseti method and the French functional (physiotherapy) method. Surgical technique.
    Steinman S, Richards BS, Faulks S, Kaipus K.
    J Bone Joint Surg Am. 2009 Oct 1;91 Suppl 2:299-312.
     
  34. NewsBot

    NewsBot The Admin that posts the news.

    Plantar pressures following ponseti and French physiotherapy methods for clubfoot.
    Jeans KA, Karol LA.
    J Pediatr Orthop. 2010 Jan-Feb;30(1):82-9.
     
  35. NewsBot

    NewsBot The Admin that posts the news.

    This clinical trial has just been registered:

    Sucrose Analgesia in Infants Undergoing Casting for Club Foot (SCF)
     
  36. NewsBot

    NewsBot The Admin that posts the news.

    Poseti Method Compared with Surgical Treatment of Clubfoot
    A Prospective Comparison
    Matthew A. Halanski, Jan E. Davison, Jen-Chen Huang, Cameron G. Walker, Stewart J. Walsh, and Haemish A. Crawford,
    The Journal of Bone and Joint Surgery (American). 2010;92:270-278.

     
  37. NewsBot

    NewsBot The Admin that posts the news.

    Clubfoot management by the Ponseti technique in Saudi patients.
    Jawadi AH.
    Saudi Med J. 2010 Jan;31(1):49-52.
     
  38. NewsBot

    NewsBot The Admin that posts the news.

    Gait analysis of children treated for moderate clubfoot with physical therapy versus the ponseti cast technique.
    Gottschalk HP, Karol LA, Jeans KA.
    J Pediatr Orthop. 2010 Apr-May;30(3):235-9.
     
  39. NewsBot

    NewsBot The Admin that posts the news.

    The Role of Ultrasound in Clubfoot Treatment: Correlation with the Pirani Score and Assessment of the Ponseti Method.
    El-Adwar KL, Kotb HT.
    Clin Orthop Relat Res. 2010 Apr 14. [Epub ahead of print]
     
  40. NewsBot

    NewsBot The Admin that posts the news.

    Ponseti Management of Clubfoot After Walking Ag.
    Fırat YM, Nurullah EM, Emre AH, Erkin K, Selahattin KE.
    Pediatr Int. 2010 Jul 5. [Epub ahead of print]
     
Loading...

Share This Page