Ponseti method: Difference between revisions
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== Introduction == | == Introduction == | ||
The Ponseti method is a conservative and manipulative method that corrects clubfoot or [[Congenital talipes equinovarus (CTEV)|congenital talpes equino varus]] (CTEV)<ref name="Rad">Radler, C., 2013. The Ponseti method for the treatment of congenital club foot: Review of the current literature and treatment recommendations. International Orthopaedics, 37, pp.1747–1753.</ref>.[[Image:Dr Ponsetí.jpg|thumb|right|Ignacio Ponseti Vives, MD]]It was developed by [https://en.wikipedia.org/wiki/Ignacio_Ponseti Dr. Ignacio.V.Ponsetti (1943-2009)] of the University of Iowa hospital and clinics <ref name="Zwi">Zwick, E.B., Kraus, Tanja.,Maizen,C.,Steinwender,G.,Linhart, Wolfgang E. 2009. Comparison of ponseti versus surgical treatment for idiopathic clubfoot: A short-term preliminary report. Clinical Orthopaedics and Related Research, 467, pp.2668–2676.</ref>. This method was developed in response to the complications and poor outcomes which came with surgical management of clubfoot<ref name="Ger">Gerlach, D.J., Gurnett, CA.,Limpaphayom, N.,Alaee, Farhang.,Zhang, Z.,Porter, K.,Smyth, M. D Dobbs, Matthew B 2009. Early results of the Ponseti method for the treatment of clubfoot associated with myelomeningocele. The Journal of bone and joint surgery. American volume, 91, pp.1350–1359</ref>.Dr. Ponseti was convinced there was a more efficient and effective way of treating clubfoot this resulted in him studying extensively functional and patho-anatomy of the normal foot and the one which presented with clubfoot<ref name="Har">Harmer, L. &; Rhatigan, J., 2014. Clubfoot care in low-income and middle-income countries: From clinical innovation to a public Health Program. World Journal of Surgery, 38, pp.839–848</ref> . | The Ponseti method is a conservative and manipulative method that corrects clubfoot or [[Congenital talipes equinovarus (CTEV)|congenital talpes equino varus]] (CTEV)<ref name="Rad">Radler, C., 2013. The Ponseti method for the treatment of congenital club foot: Review of the current literature and treatment recommendations. International Orthopaedics, 37, pp.1747–1753.</ref>.[[Image:Dr Ponsetí.jpg|thumb|right|Ignacio Ponseti Vives, MD]]It was developed by [https://en.wikipedia.org/wiki/Ignacio_Ponseti Dr. Ignacio.V.Ponsetti (1943-2009)] of the University of Iowa hospital and clinics <ref name="Zwi">Zwick, E.B., Kraus, Tanja.,Maizen,C.,Steinwender,G.,Linhart, Wolfgang E. 2009. Comparison of ponseti versus surgical treatment for idiopathic clubfoot: A short-term preliminary report. Clinical Orthopaedics and Related Research, 467, pp.2668–2676.</ref>. This method was developed in response to the complications and poor outcomes which came with surgical management of clubfoot<ref name="Ger">Gerlach, D.J., Gurnett, CA.,Limpaphayom, N.,Alaee, Farhang.,Zhang, Z.,Porter, K.,Smyth, M. D Dobbs, Matthew B 2009. Early results of the Ponseti method for the treatment of clubfoot associated with myelomeningocele. The Journal of bone and joint surgery. American volume, 91, pp.1350–1359</ref>.Dr. Ponseti was convinced there was a more efficient and effective way of treating clubfoot this resulted in him studying extensively functional and patho-anatomy of the normal foot and the one which presented with clubfoot<ref name="Har">Harmer, L. &amp;; Rhatigan, J., 2014. Clubfoot care in low-income and middle-income countries: From clinical innovation to a public Health Program. World Journal of Surgery, 38, pp.839–848</ref> . | ||
The Ponseti has become the gold standard of treatment compared to the other interventions because of its better outcomes <ref name="Rad" />.The use of the Ponsetti has spread worldwide with evidence shown in 113 out 193 united nations member countries.<ref name="Sha">Shabtai, L. et al., 2014. Worldwide spread of the Ponseti method for clubfoot. , 5(5), pp.585–590.</ref>The Ponseti method consist of serial manipulation, casting and tenotomy of the Achilles tendon .Posteromedial medial release may be required in some patients to achieve correction<ref name="Gop">Gopakumar, T. & Rahul, M., 2014. Ponseti technique in the management of Idiopathic club foot. Kerala Journal of Orthopaedics, 27(1), pp.15–17.</ref>. This is followed by the use of the use of the foot abduction brace to prevent the occurrence of relapse .All these procedures can be divided into two i.e. casting phase which consist of manipulation, casting and tenotomy and maintenance phase which is the use of the foot abduction brace to prevent relapse<ref name="Sta">Staheli, L., 2003. Clubfoot: Ponseti Management. GlobalHELP Publicatioons, pp.1–32.</ref>. | The Ponseti has become the gold standard of treatment compared to the other interventions because of its better outcomes <ref name="Rad" />.The use of the Ponsetti has spread worldwide with evidence shown in 113 out 193 united nations member countries.<ref name="Sha">Shabtai, L. et al., 2014. Worldwide spread of the Ponseti method for clubfoot. , 5(5), pp.585–590.</ref>The Ponseti method consist of serial manipulation, casting and tenotomy of the Achilles tendon .Posteromedial medial release may be required in some patients to achieve correction<ref name="Gop">Gopakumar, T. &amp; Rahul, M., 2014. Ponseti technique in the management of Idiopathic club foot. Kerala Journal of Orthopaedics, 27(1), pp.15–17.</ref>. This is followed by the use of the use of the foot abduction brace to prevent the occurrence of relapse .All these procedures can be divided into two i.e. casting phase which consist of manipulation, casting and tenotomy and maintenance phase which is the use of the foot abduction brace to prevent relapse<ref name="Sta">Staheli, L., 2003. Clubfoot: Ponseti Management. GlobalHELP Publicatioons, pp.1–32.</ref>. | ||
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The video below shows a short documentary on clubfoot treatment from the National Geographic | |||
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<ref>National Geographic.For Children With Clubfoot, Treatment Can Be Life Changing.Available from:https://www.youtube.com/watch?v=psdsqsdAxc0[last accessed 2/28/2016] </ref>{{#ev:youtube|psdsqsdAxc0|300}} | <ref>National Geographic.For Children With Clubfoot, Treatment Can Be Life Changing.Available from:https://www.youtube.com/watch?v=psdsqsdAxc0[last accessed 2/28/2016] </ref>{{#ev:youtube|psdsqsdAxc0|300}} | ||
== Resources == | == Resources == | ||
http://www.global-help.org/publications/books/help_cfponseti.pdf | *http://www.global-help.org/publications/books/help_cfponseti.pdf | ||
*http://globalclubfoot.com/ | |||
http://globalclubfoot.com/ | *http://www.ponseti.info/ | ||
*https://miraclefeet.org/ | |||
http://www.ponseti.info/ | |||
https://miraclefeet.org/ | |||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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<rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1linSS9uJPlgkhXM8WT8GMZaUitebOgqHc6QxRvJhpEOaOHsy_|charset=UTF-8|short|max=10</rss> | <rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1linSS9uJPlgkhXM8WT8GMZaUitebOgqHc6QxRvJhpEOaOHsy_|charset=UTF-8|short|max=10</rss> | ||
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== References == | == References == | ||
<br> | <references /><br> | ||
[[Category:Conditions]] [[Category:Foot]] [[Category:Clubfoot]] [[Category:Musculoskeletal/Orthopaedics]] | |||
Revision as of 00:42, 31 May 2017
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Introduction[edit | edit source]
The Ponseti method is a conservative and manipulative method that corrects clubfoot or congenital talpes equino varus (CTEV)[1].
It was developed by Dr. Ignacio.V.Ponsetti (1943-2009) of the University of Iowa hospital and clinics [2]. This method was developed in response to the complications and poor outcomes which came with surgical management of clubfoot[3].Dr. Ponseti was convinced there was a more efficient and effective way of treating clubfoot this resulted in him studying extensively functional and patho-anatomy of the normal foot and the one which presented with clubfoot[4] .
The Ponseti has become the gold standard of treatment compared to the other interventions because of its better outcomes [1].The use of the Ponsetti has spread worldwide with evidence shown in 113 out 193 united nations member countries.[5]The Ponseti method consist of serial manipulation, casting and tenotomy of the Achilles tendon .Posteromedial medial release may be required in some patients to achieve correction[6]. This is followed by the use of the use of the foot abduction brace to prevent the occurrence of relapse .All these procedures can be divided into two i.e. casting phase which consist of manipulation, casting and tenotomy and maintenance phase which is the use of the foot abduction brace to prevent relapse[7].
The video below shows a short documentary on clubfoot treatment from the National Geographic
Resources[edit | edit source]
- http://www.global-help.org/publications/books/help_cfponseti.pdf
- http://globalclubfoot.com/
- http://www.ponseti.info/
- https://miraclefeet.org/
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
- ↑ 1.0 1.1 Radler, C., 2013. The Ponseti method for the treatment of congenital club foot: Review of the current literature and treatment recommendations. International Orthopaedics, 37, pp.1747–1753.
- ↑ Zwick, E.B., Kraus, Tanja.,Maizen,C.,Steinwender,G.,Linhart, Wolfgang E. 2009. Comparison of ponseti versus surgical treatment for idiopathic clubfoot: A short-term preliminary report. Clinical Orthopaedics and Related Research, 467, pp.2668–2676.
- ↑ Gerlach, D.J., Gurnett, CA.,Limpaphayom, N.,Alaee, Farhang.,Zhang, Z.,Porter, K.,Smyth, M. D Dobbs, Matthew B 2009. Early results of the Ponseti method for the treatment of clubfoot associated with myelomeningocele. The Journal of bone and joint surgery. American volume, 91, pp.1350–1359
- ↑ Harmer, L. &; Rhatigan, J., 2014. Clubfoot care in low-income and middle-income countries: From clinical innovation to a public Health Program. World Journal of Surgery, 38, pp.839–848
- ↑ Shabtai, L. et al., 2014. Worldwide spread of the Ponseti method for clubfoot. , 5(5), pp.585–590.
- ↑ Gopakumar, T. & Rahul, M., 2014. Ponseti technique in the management of Idiopathic club foot. Kerala Journal of Orthopaedics, 27(1), pp.15–17.
- ↑ Staheli, L., 2003. Clubfoot: Ponseti Management. GlobalHELP Publicatioons, pp.1–32.
- ↑ National Geographic.For Children With Clubfoot, Treatment Can Be Life Changing.Available from:https://www.youtube.com/watch?v=psdsqsdAxc0[last accessed 2/28/2016]
