Treatment for Congenital Clubfoot by the Ponseti Method

DOI 3 Citations 7 References
  • Yoshino Shinji
    Kagoshima Prefectural Crippled Children's Hospital, Kagoshima, Japan
  • Higo Masaru
    Kagoshima Prefectural Crippled Children's Hospital, Kagoshima, Japan
  • Nakamura Masahiro
    Kagoshima Prefectural Crippled Children's Hospital, Kagoshima, Japan

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  • Ｐｏｎｓｅｔｉ法による内反足治療の経験

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Abstract

We examined the curative effects on patients with congenital clubfoot treated by the Ponseti method at least 6 months previously. We reviewed 14 feet in 9 patients. After plaster casting 6 times on average, we performed percutaneous fendoachilles tenotomy. We evaluated the deformity radiographically, and examined the talo-first metatarsal angle (T-1stMTA) and talo-calcaneal angle (TCA) on anteroposterior radiographs, as well as the TCA and tibio-calcaneal angle (Ti-CA) in the dorsiflexion on lateral radiographs. At 6 months of age, T-1stMTA was −10° on average, anteroposterior TCA 34°, lateral TCA 33°, and Ti-CA 67°, indicating good correction. In most cases, the correction was maintained until the patient was 1 year of age. The deformity remained in 3 feet (21%), and posterior release was required in 2 feet and postero-medial release in 1 foot.<BR>Adduction deformity of the forefoot is corrected early and roll-in of the calcaneus in the hindfoot is naturally corrected by the Ponseti method. We conclude that the Ponseti method is useful and can decrease the need for extensive open release surgery at an early stage of disease.

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