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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.
Usually, surgery is done at 9 to 12 months of age and the goal is to correct all the components of the clubfoot deformity at the time of surgery. For feet with the typical components of deformity (cavus, forefoot adductus, hindfoot varus, and ankle equinus), the typical procedure is a Posteromedial Release (PMR) surgery.
The Denis Browne bar, also known as the Denis Browne splint or foot abduction orthosis, is a medical device used in the treatment of club foot.The device is named after Sir Denis Browne (1892-1967), an Australian-born surgeon at Great Ormond Street Hospital in London who was considered the father of pediatric surgery in the United Kingdom. [1]
At birth of a ‘full-term’ baby the average foot length is 7.6 centimetres (range 7.1 – 8.7 cm). Foot growth continues to be very rapid in the first 5 years of life; slower development continues until skeletal maturity of the feet, which occurs on average at 13 years in girls and 15 years in boys.
Clubfoot, one of the most common congenital deformities of the lower limbs, occurs approximately 1 in 1000 births. It can be treated by physical therapy, or by a combination of physical therapy and surgery. [1] One class of congenital limb deformities, limb reduction defects, occurs when one or more limbs are undersized or missing parts.
Hope Walks, formerly CURE Clubfoot, [1] is a Christian nonprofit organization based in Dillsburg, Pennsylvania, that treats infant clubfoot in developing countries around the world. As of 2019, Hope Walks operates over 130 clinics in 16 countries including Ethiopia , Niger and the Dominican Republic . [ 2 ]
The Ponseti method is a revolutionary non-surgical way to treat congenital clubfoot, which had previously been treated through surgeries to infants or children at a young age. The Ponseti method is a way to treat clubfoot through a series of manipulating bones and tendons in the foot and holding them in place through a series of casts.
A foot deformity is a disorder of the foot that can be congenital or acquired.. Above is a foot of a black boy who did not wear shoes, and below is another foot of a white boy.