Journal article
Results of an Accelerated Ponseti Protocol for Clubfoot
Journal of pediatric orthopaedics, Vol.25(5), pp.623-626
09/2005
DOI: 10.1097/01.bpo.0000162015.44865.5e
PMID: 16199943
Abstract
The Ponseti method has demonstrated excellent results when performed at weekly intervals, but it is not known whether correction can be accomplished in a shorter amount of time. This study evaluated the success in correction in relation to time between casts (5 or 7 days). The authors retrospectively reviewed 230 patients (319 clubfeet). One hundred sixty-five patients (72%) had undergone previous nonsurgical treatment elsewhere. Patients were assigned to 5 or 7 days based solely on geography. Ninety percent of patients required five or fewer casts for correction, and there was no difference between groups (P = 0.85). Average time from first cast to Achilles tenotomy was 16 days for the 5-day group and 24 days for the 7-day group (P = 0.001). Three patients (1.3%) required corrective surgery and there were 36 relapses (P = 0.4). In conclusion, the Ponseti method is very effective and the deformity can be corrected in a relatively short time.
Details
- Title: Subtitle
- Results of an Accelerated Ponseti Protocol for Clubfoot
- Creators
- Jose Morcuende - From Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IowaDavid AbbasiLori DolanIgnacio Ponseti
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric orthopaedics, Vol.25(5), pp.623-626
- Publisher
- Lippincott Williams & Wilkins, Inc
- DOI
- 10.1097/01.bpo.0000162015.44865.5e
- PMID
- 16199943
- ISSN
- 0271-6798
- eISSN
- 1539-2570
- Language
- English
- Date published
- 09/2005
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984040209402771
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