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Treatment of idiopathic clubfoot using the Ponseti method: minimum 2-year follow-up

2007; Wolters Kluwer; Volume: 16; Issue: 2 Linguagem: Inglês

10.1097/bpb.0b013e32801048bb

1473-5865

Amr Abdelgawad, Wallace B. Lehman, Harold J. P. van Bosse, David M. Scher, Debra A. Sala,

Lower Extremity Biomechanics and Pathologies

One hundred and thirty-seven idiopathic clubfeet were treated by the Ponseti technique and followed for at least 2 years. Nine feet (7%) were not corrected with initial casting and required early surgery. Recurrence after correction was related to compliance with bracing. At latest follow-up, two-thirds of those noncompliant with brace had recurrences with one-third of these recurrences requiring more extensive surgery than Achilles tenotomy and anterior tibial tendon transfer while only 14% of those compliant with brace had recurrences with none requiring more than Achilles tenotomy and anterior tibial tendon transfer. Early failures and recurrences constituted about 20% of our 137 feet by 2 years of follow-up. When the Ponseti method was fully followed, including initial casting, compliance with brace and treatment of recurrences by recasting, Achilles tenotomy and/or anterior tibial tendon transfer, our success rate was 93%.