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The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. It was developed by Ignacio V. Ponseti of the University of Iowa Hospitals and Clinics , US, in the 1950s, and was repopularized in 2000 by John Herzenberg in the US and Europe and in Africa by NHS surgeon Steve Mannion.
The most common initial treatment is the Ponseti method, which is divided into two phases: 1) correcting of foot position and 2) casting at repeated weekly intervals. [1] If the clubfoot deformity does not improve by the end of the casting phase, an Achilles tendon tenotomy can be performed. [ 10 ]
Ignacio Ponseti (3 June 1914 – 18 October 2009), also known as Ignasi Ponsetí i Vives, was a Spanish-American physician, specializing in orthopedics. He was born on 3 June 1914 in Menorca , part of the Balearic Islands , Spain , Ponseti was the son of a watchmaker and spent his childhood helping repair watches.
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Total contact casting is contraindicated in the presence of untreated infection or osteomyelitis and in patients with severe peripheral arterial disease. It should be used with caution in deep or heavily draining wounds and in ataxic, blind or severely obese patients. Patient compliance is also necessary to minimize complications.
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