Clubfoot is a common congenital foot deformity affecting approximately 7 in 1,000 children in the United States. While once primarily corrected through surgery, the Ponseti Method has revolutionized clubfoot correction as a minimally invasive approach with high success rates, enabling children to lead active lives.
What is Clubfoot?
Clubfoot is a condition where a baby’s foot points inward due to shortened tendons and muscles, affecting calf muscles and foot length. Often detected during an ultrasound or at birth, clubfoot can appear in one or both feet, and it’s more common in boys.
While the exact cause is unclear, factors may include genetics, maternal lifestyle, or conditions like low amniotic fluid. Early diagnosis allows for a swift treatment plan.
Understanding the Ponseti Method for Clubfoot Correction
The Ponseti Method has become the gold standard for non-surgical clubfoot treatment, avoiding invasive procedures in most cases. This approach, which combines gentle manipulation with casting, can successfully treat clubfoot in most infants when performed by trained pediatric orthopedists.
Since clubfoot is more than just a foot issue, the Ponseti Method addresses the whole lower limb, providing a comprehensive approach to correct alignment and promote healthy growth.
Steps Involved in the Ponseti Method
Gentle Manipulation and Casting
The Ponseti Method starts within weeks of birth, when an orthopedic specialist gradually stretches and repositions the foot. This repositioning process typically lasts six weeks, with casts changed weekly.
Achilles Tenotomy (if required)
In cases where the Achilles tendon is too tight, a quick procedure under local anesthesia may be necessary to release it, allowing the foot to settle into its corrected position.
Foot Abduction Bracing (Maintenance Phase)
Following casting, children wear a clubfoot brace during naps and nighttime for a few years to prevent recurrence. The brace schedule gradually reduces as the child ages, typically ending by age four.
Age Considerations for Ponseti Treatment
Early intervention, ideally in the first few weeks after birth, yields the best results, as infant feet are most flexible and respond well to manipulation. Delayed treatment may require more extensive intervention.
Success Rates and Outcomes of the Ponseti Method
The Ponseti treatment has a 95% success rate in correcting clubfoot, providing children with optimal mobility. Long-term outcomes include well-aligned feet, improved leg muscle function, and high activity levels. Ponseti-treated children typically walk, run, and play just like other kids.
Common Questions About Ponseti Clubfoot Treatment
- Does clubfoot come back after Ponseti treatment? Recurrence is rare with consistent bracing and follow-up care.
- Will my child be able to walk normally? Yes, with appropriate Ponseti treatment and bracing, children achieve excellent mobility.
- What is the role of physical therapy after Ponseti treatment? Physical therapy may help maintain foot flexibility and prevent stiffness.
- How to care for a child’s feet during Ponseti treatment? Parents are encouraged to do simple stretching exercises with guidance from the pediatric orthopedist.
Supporting Your Child Through Ponseti Treatment
Parents play a vital role by following bracing instructions and ensuring regular orthopedic check-ups. During casting, keeping the baby comfortable with toys, books, and interaction can make treatment easier.
The Ponseti Method offers a highly effective, non-surgical solution for clubfoot deformity, providing a bright future for affected children. For parents seeking expert pediatric orthopedic care, consulting a clubfoot specialist early ensures the best possible outcome. Expecting parents can also schedule a prenatal clubfoot consultation with our practice to prepare for treatment before delivery.
The Pediatric Orthopedic Center’s experienced team is here to help—contact us to schedule a consultation at one of our New Jersey locations in Springfield, Cedar Knolls, or Wayne.
