Treatment of the Complex Idiopathic Clubfoot

Ignacio V. Ponseti, MD*; Miroslav Zhivkov, MD†; Naomi Davis, FRCSEd‡; Marc Sinclair, MD§; Matthew B. Dobbs, MD ; and Jose A. Morcuende, MD, PhD*

Treatment with the Ponseti method corrects congenital idiopathic clubfeet in the majority of patients. However, some feet do not respond to the standard treatment protocol. We describe the characteristics and treatment results of these complex idiopathic clubfeet.

ATYPICAL CLUBFOOT :EARLY IDENTIFICATION AND TREATMENT BY MODIFICATION OF STANDARD PONSETI TECHNIQUE.

Atypical clubfoot is a clinical variant of idiopathic clubfoot which requires early detection by the orthopaedician and modification in the standard protocol of treatment as described by Ponseti. The goal of treatment is to reduce or eliminate its four components so that the patient has a functional foot and leads a normal life.

Examples of Complex Clubfoot.


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