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The Ponseti Method

 

Corrective orthopedic surgery is the only alternative for older children and adults suffering from clubfoot to avoid life-long disability, however there is an effective, inexpensive, and permanent treatment alternative for children .The method was developed in the 1950s by Dr. Ignacio Ponseti.The Ponseti Method involves a gradual correction of one or both of the afflicted feet by casting them in a progressively closer-to-normal foot position. Essentially the foot is slowly stretched back into a normal position. This, of course, takes time, and is most successful while the child is still young and the tissues are soft and pliable. When the final cast is removed the child is fitted with foot abduction braces…

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These photographs are taken from our Myanmar program shows the steps in successfully casting clubfeet up to the fitting the braces.
Amazing how the baby smiles too as treatment progresses! This method for clubfoot treatment is nearly 100% effective when used properly by a trained health care provide, and is considered the “gold standard” treatment for clubfoot. Health care workers in underprivileged areas of the world can be trained to use the method, helping hundreds of thousands of children walk…around the world.

 

ponseti_portrait_3Ponseti treatment was introduced in UK in the late 1990s and widely Ponseti-method-pics-1popularized around the country by NHS physiotherapist Steve Wildon. The manipulative treatment of clubfoot deformity is based on the inherent properties of the connective tissue, cartilage, and bone, which respond to the proper mechanical stimuli created by the gradual reduction of the deformity. The ligaments, joint capsules, and tendons are stretched under gentle manipulations. A plaster cast is applied after each manipulation to retain the degree of correction and soften the ligaments. The displaced bones are thus gradually brought into the correct alignment with their joint surfaces progressively remodeled yet maintaining congruency. After two months of manipulation and casting the foot appears slightly over-corrected. After a few weeks in splints however, the foot looks normal.

 

 

View Ponseti Casting Technique Workshop PowerPoint Presentation (Click here)

This website is not intended for medical reference. Our intention is to build awareness of clubfoot deformity in Bangladesh and raise funds for the Walk for Life Programme.

 

 

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