Ponseti Method


This technique of treatment of congenital clubfoot developed by American physician Ignacio Ponseti, and differs with a traditional enhanced understanding of a functional anatomy of a foot. Ponseti method for the treatment should be started at the age of 1-2 weeks, and strictly comply with a medical man's prescription.

Ponseti method in most cases, do without major surgery, limited alone by percutaneous Achilles notch to increase its length. Foot cured by this method are more flexible and strength, as comfortably however less hurt than traditional surgery.

Ponseti method, however right as traditional, a first phase includes gypsum foot from a toes to a upper thigh. However, in this method, a position of the bones of a foot is corrected in any method: in several planes. A medic who practices this approach need get exceptional training. Just to correct foot position to change 6-7 times a plaster cast, every time changing the position of the foot and stretching the ligaments in a especial way.

When a correct position is to some degree, the medic conducts a cut Achilles tendon (tenotomy) to give the foot more freedom. This process is performed on an outpatient basis under local anesthesia.

Once a correct position of the feet is reached, the newborn want wear the brace, which are a metal bar with shoes for feet, placed at a certain angle. At this stage, a responsibility for the treatment goes with medic to moms and dads, they need clearly follow and adhere strictly to wear a brace.

Despite a fact that the newborn's feet of the a course of casts seem yet recovered, wearing the brace is to prevent re-clubfoot.

At the start of braces should be worn by a child 23 hours per day, so it is time gradually shortened to two years is usually enough to wear them only for a night's sleep. Depending on a treatment of clubfoot want continue to 2-4 or even 5 years.

Relapses occur in about the size of 6 out of 100 infants treated by a Ponseti approach. In this case, can help re-rate casts, normally shorter, and once again wearing a brace.

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