Clubfoot

Clubfoot is a congenital foot deformity in which the foot is inverted and deformed.

The treatment was used to be by surgery. However long term results shows a high incidence of poor results due to scarring, overcorrection and stiffness.

Recently it is found that the Ponseti technique can give a very good result compared to other methods of treatment and surgery. The treatment consists of weekly manipulation and casting of the foot followed by casting. A total of 5 to 6 castings are usually needed. A tenotomy is usually needed at the end of the serial castings.

Afterwards, a Dennis Browne type of splint is used full time for 3 months and then at night time for 3 years
The chance of success of the Ponseti method is about 95%.

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