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Ponseti method treatment of neglected idiopathic clubfoot: Preliminary results of a multi-center study in Nigeria
Journal article   Open access   Peer reviewed

Ponseti method treatment of neglected idiopathic clubfoot: Preliminary results of a multi-center study in Nigeria

Olayinka O Adegbehingbe, Adeoye J Adetiloye, Ladipo Adewole, Dennis U Ajodo, Nosirudeen Bello, Oluwadare Esan, Alex C Hoover, James Ior, Omolade Lasebikan, Owolabi Ojo, …
World journal of orthopedics, Vol.8(8), pp.624-630
08/18/2017
DOI: 10.5312/wjo.v8.i8.624
PMCID: PMC5565494
PMID: 28875128
url
https://doi.org/10.5312/wjo.v8.i8.624View
Published (Version of record) Open Access

Abstract

To evaluate the effectiveness of the Ponseti method for initial correction of neglected clubfoot cases in multiple centers throughout Nigeria. Patient charts were reviewed through the International Clubfoot Registry for 12 different Ponseti clubfoot treatment centers and 328 clubfeet (225 patients) met inclusion criteria. All patients were treated by the method described by Ponseti including manipulation and casting with percutaneous Achilles tenotomy as needed. A painless plantigrade foot was obtained in 255 feet (78%) without the need for extensive soft tissue release and/or bony procedures. We conclude that the Ponseti method is a safe, effective and low-cost treatment for initial correction of neglected idiopathic clubfoot presenting after walking age. Long-term follow-up will be required to assess outcomes.
Walking age Nigeria Neglected clubfoot Ponseti method

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