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Treatment of the Persistent/Recurrent Clubfoot Following the Ponseti Method

January 01, 2013

Contributors: Wallace B. Lehman, MD; Mathew Hamula, BA, BS; Alice Chu, MD; Alice Chu, MD

Keywords: Bony Procedure

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

The Ponseti technique has been used successfully for the initial treatment of idiopathic clubfeet. The technique has drastically reduced the use of more aggressive surgical reconstructions of the foot. The majority of cases are corrected beyond recognition with serial casting with or without Achilles tenotomy. However, relapses do occur and the appropriate treatment of this is not well established, particularly as the patient ages. Ponseti described his case series of relapses and recommended maintaining his principles with an added element of "overcorrection" with the casts. In this video, we provide an overview of persistent/recurrent (relapsed) clubfoot. We also show the treatment of relapsed bilateral clubfeet by repeating the principles of the original Ponseti method in a 2-year-old boy. We have concluded that persistent or recurrent clubfoot deformity after "failure" of the Ponseti method can be managed by repeat Ponseti casting, limited surgery, and further bracing.

Results for "Foot and Ankle"


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