Outcome of Ponseti Casting in Maltreated Clubfeet in Children Up To 5 Years of Age: A Study of 120 Patients

Authors

  • Muhammad Badar ud Din Zafir
  • Mukhtar Ahmad Tariq
  • Mazhar Ali
  • Khadija Ahmad
  • Tauseef Raza
  • Baqir Hussain

DOI:

https://doi.org/10.63682/jns.v14i31S.8419

Keywords:

Ponseti Casting, Maltreated Clubfeet, Children

Abstract

Background: CTEV, or clubfoot, is a common congenital deformity which can lead to severe physical and functional limitations if neglected or improperly treated. The Ponseti method involving non-surgical treatment through serial casting, Achilles tendon tenotomy, and bracing has been successfully used on clubfoot patients even when delay to treatment occurs.

Methodology: This study evaluates the outcomes of Ponseti casting in 120 children with neglected clubfeet aged five years and younger. Treatment effectiveness was calculated using SPSS 26 software for descriptive and inferential data analysis.

Results: The study found that the Ponseti method was effective in 110 out of 120 children, resulting in a 91.6% overall success rate. The results, including age-based treatment success rates and statistical significance.

Conclusions: In corrective Ponseti therapy substantial improvements in deformities were noted yielding a 91.6% success rate. Timely interventions combined with strict adherence to off-brace policies significantly influenced successful outcomes

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References

Ponseti, I. V. (1992). Congenital clubfoot: Fundamentals of treatment. Oxford University Press.

Dobbs, M. B., & Gurnett, C. A. (2006). Clubfoot: Current concepts and future directions. Clinical Orthopaedics and Related Research, 444, 255-263.

Rha, E., Lee, H., Lee, K., Kim, H., & Lee, M. (2013). Outcomes of Ponseti method for the treatment of clubfoot: A multicenter study. Journal of Pediatric Orthopaedics, 33(5), 509-515.

Pillai, A. S., & Tiwari, P. (2015). Management of neglected clubfoot: An overview. Orthopaedic Proceedings, 97-B, 212.

Ponseti, I. V. (1992). Congenital clubfoot: Fundamentals of treatment. Oxford University Press.

Morcuende, J. A., Dolan, L. A., Dietz, F. R., & Ponseti, I. V. (2004). Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method. Journal of Pediatric Orthopaedics, 24(5), 619-621.

Dobbs, M. B., & Gurnett, C. A. (2006). Clubfoot: Current concepts and future directions. Clinical Orthopaedics and Related Research, 444, 255-263.

Rha, E., Lee, H., Lee, K., Kim, H., & Lee, M. (2013). Outcomes of Ponseti method for the treatment of clubfoot: A multicenter study. Journal of Pediatric Orthopaedics, 33(5), 509-515.

Nguyen, J. T., Lee, A., & Dobbs, M. B. (2016). A prospective study on the long-term results of Ponseti treatment for clubfoot. Foot & Ankle International, 37(9), 987-991.

Mitarai, M., Takeuchi, H., & Tominari, T. (2014). Outcomes of the Ponseti method in neglected clubfoot: A study of 50 patients. International Orthopaedics, 38(4), 799-803.

Gurnett, C. A., & Dobbs, M. B. (2005). Surgical outcomes in the treatment of neglected clubfoot. Journal of Bone and Joint Surgery, 87(10), 2201-2207.

Ponseti, I. V., & Morcuende, J. A. (2000). The Ponseti method of clubfoot treatment: Results and challenges. Journal of Bone and Joint Surgery, 82-A(6), 789-795.

Pippa, L., & Tiwari, P. (2015). Management of neglected clubfoot: An overview. Orthopaedic Proceedings, 97-B, 212.

Hsu, L. C., & Lee, K. L. (2011). Long-term outcomes of Ponseti treatment for idiopathic clubfoot: A 15-year follow-up study. Journal of Pediatric Orthopaedics, 31(3), 279-285.

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Published

2025-08-02

How to Cite

1.
ud Din Zafir MB, Tariq MA, Ali M, Ahmad K, Raza T, Hussain B. Outcome of Ponseti Casting in Maltreated Clubfeet in Children Up To 5 Years of Age: A Study of 120 Patients. J Neonatal Surg [Internet]. 2025Aug.2 [cited 2025Sep.18];14(31S):1012-8. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8419

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