Clubfoot
Clubfoot
The Ponseti Method
Our products are designed to support the Ponseti Method — a highly developed, multi-year process that guides families to a successful correction of their little one’s clubfoot condition.
For more detailed information on the Ponseti Method and its application, please visit Ponseti International at ponseti.info.
Year 1
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Diagnosis of Clubfoot (at or before birth)
Most clubfoot diagnoses are made during a prenatal ultrasound exam or immediately after birth.
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Treatment Phase (6-8 weeks)
Weekly treatment sessions typically begin within one to two weeks of birth. In each session, a specialist uses their hands to gently manipulate and stretch the ligaments and tendons of the baby’s foot. A plaster cast is then applied to reinforce the newly corrected shape and position. This process typically continues for six to eight weeks, gradually bringing the baby’s foot into the correct alignment.
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Tenotomy Procedure
Before applying the final cast, most babies undergo a percutaneous Achilles tenotomy. This minor in-office procedure involves making a tiny incision to the Achilles tendon. By the time the cast is removed, the tendon has healed and grown to the proper length.
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Maintenance Phase (3 months)
After the last cast is removed, the child is fitted for a special brace, consisting of ankle-foot orthoses (AFOs) attached at the ends of a lightweight bar. This brace is typically worn for 23 hours a day for three months. It is critical that the brace is worn exactly as prescribed, in order to ensure successful repositioning of the foot.
Year 2-5
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Sleep Maintenance
To ensure the correction holds, the child will continue to wear the AFO and bar during the night while sleeping for four years, or as prescribed.
Training Models
Learn more about the Mitchell Ponseti anatomical training models for Ponseti Method manipulations, casting and tenotomy procedures
Information and Resources
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Treatment of the Complex Idiopathic Clubfoot
Abstract by: Matthew B. Dobbs, MD Jose A Morcuende, MD Christina Gurnett, MD & Ignacio Ponseti, MD -
Complex Clubfoot Following Cast Slippage Presentation By Dr. Ignacio Ponseti
Video by Global Help -
Complex Clubfoot At Birth Presentation By Dr. Ignacio Ponseti
Video by Global Help -
Modified Ponseti® Management In The Amyoplastic Form Of Arthrogryposis
Video by Global Help -
University of Iowa
Ponseti Method -
University of Iowa
Dr. Morcuende -
Ponseti International Association
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The Ponseti Method Of Clubfoot Care׃ Where To Put Your Fingers
Global Help