Ponseti Method for Clubfoot Corrections
Also known as: Ponseti Method, Ponseti Technique
What is Ponseti Method for clubfoot corrections?
The Ponseti method is the most common method of treating clubfeet in newborns. It involves using manual manipulation of the feet, casting and bracing to correct clubfeet and prevent their recurrence without major reconstructive surgery.
What happens during the treatment?
Treatment with the Ponseti method typically begins in the first week after a baby is born. The foot is manipulated into the proper position, and then a cast is placed on the foot. After a week, the first cast is removed, and the process is repeated. It typically requires about 5 or 6 casts to fully reshape the foot and ankle. Often, the final casting is accompanied by a surgical procedure that helps to lengthen the Achilles tendon.
After the final cast is in place for three weeks, the infant then switches to orthotic braces that hold the shape of the foot. At first, the braces are worn 23 hours a day for three months, and then overnight for several years. The end result is complete correction of clubfoot.
What are the risk factors?
The main risk factor of the Ponseti method is the risk of recurrence of clubfoot. The requirements of continuous bracing can feel rigorous, especially over the course of many years. But it’s essential to follow the guidelines carefully to prevent it from coming back.
Is any special preparation needed?
No special preparation is needed for Ponseti method for clubfoot corrections.
Reviewed by: Dr. Scott J Schoenleber, MD
This page was last updated on: October 16, 2020 03:00 PM
Dr. Scott Schoenleber, pediatric orthopedic surgeon, explains how the Ponseti method is used to correct the position of children with clubfoot.