Bonseti method
Non-major surgical treatment for club foot
Keywords:
talipes equinovarus, club foot, equinus, cavus, spina bifidaAbstract
Background: The club foot is a common, classic paediatric orthopedic problem. Every orthopedic surgeon knows what deformity looks like but most find it more difficult to describe or to define. The etiology is still largely unknown but ideas about treatment have changed considerably over the last few years. Method: Ponseti technique of treatment was applied on 14 babies with congenital club feet from April 2010 to June 2011, a total of 26 club feet were managed at Orthopedic department in AL Basrah General Hospital by serial manipulation and casting as described by Ponseti, included serial manipulation and casting of the deformity, minimal corrective surgery (tenatomy of Achilles tendon) and maintenance of correction by orthosis. Result: Club feet correction was obtained in all feet, 100% of feet required (10-12) cast for correction, average time for full correction ranging from (10-12) weeks. No one of our patient required extensive corrective surgery, no relapse during the period of our study. Conclusion: Ponseti method is a safe and effective treatment for congenital idiopathic club foot and significantly decrease the need for extensive corrective surgery, this technique can be used in children up to 2 years of age.
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