Clubfoot ponseti management (poster)
•
1 like•300 views
Ponseti management is an effective non-invasive treatment for clubfoot that involves serial casting and manipulation to gradually correct the deformity over several weeks. It achieves long-term correction through gentle manipulation and plaster casts applied in stages to hold the correction, often requiring a percutaneous heel-cord lengthening. Post-treatment bracing is also needed to prevent recurrence of the clubfoot deformity.
![Clubfoot: Ponseti Management
Right Left
A C
B
Appearance of casts and foot
1st 2nd 3rd 4th
HG
FED
CBA
I
DCBA
A B
Ponseti management is best for all countries and
cultures because the feet are strong, flexible, and
pain-free for a lifetime. In addition, the treatment is
inexpensive and non-invasive.
Bracing
Cast Removal
Cavus Correction
Correction of Adductus & Varus
Principles of Correction
Dr. Ignacio Ponseti
Note the cavus deformity in the untreated foot [A].
Correction is achieved by supination of the forefoot [white
arrows in B and C].
In the vast majority of infants, the clubfoot deformity can be
corrected over a period of several weeks by manipulation
and casting. This correction is done in several steps.
Note the correction of the adductus [A] and heel varus [B]
occurs when the foot is everted and abducted around the
head of the talus
Cast Application
Note the a plaster long leg cast is applied in stages to
hold the correction achieved by manipuation [A – I]. The
appearance of the casts and foot show the correction [J].
A
B
J
Remove the cast just before the remanipulation. After
soaking the cast in water, use a cast knife to avoid
frightening the infant.
Heel-Cord Lengthening
Nearly all of the infants will require a percutaneous
heel-cord lengthening. Perform this in clinic with local
anesthesia [A–E]. Cast in dorsiflexion [F]. Note the final
correction [G].
Post-correction bracing is essential to prevent
recurrents. Effective types of braces include: Denis
Browne [A], Steenbeek [B], Lyon [C], and Gottenberg
[D] designs.
E
D
A B C D E
F G
This is a Global HELP publication
For more publications,
visit our web site at
www.global-help.org
This poster was created by
Lynn Staheli and approved
by Dr. Ignacio Ponseti.](https://image.slidesharecdn.com/clubfoot-ponsetimanagementposter-180102064231/85/Clubfoot-ponseti-management-poster-1-320.jpg)
Recommended
More Related Content
More from Tran Quang
More from Tran Quang (20)
Recently uploaded
Recently uploaded (20)
Clubfoot ponseti management (poster)
- 1. Clubfoot: Ponseti Management Right Left A C B Appearance of casts and foot 1st 2nd 3rd 4th HG FED CBA I DCBA A B Ponseti management is best for all countries and cultures because the feet are strong, flexible, and pain-free for a lifetime. In addition, the treatment is inexpensive and non-invasive. Bracing Cast Removal Cavus Correction Correction of Adductus & Varus Principles of Correction Dr. Ignacio Ponseti Note the cavus deformity in the untreated foot [A]. Correction is achieved by supination of the forefoot [white arrows in B and C]. In the vast majority of infants, the clubfoot deformity can be corrected over a period of several weeks by manipulation and casting. This correction is done in several steps. Note the correction of the adductus [A] and heel varus [B] occurs when the foot is everted and abducted around the head of the talus Cast Application Note the a plaster long leg cast is applied in stages to hold the correction achieved by manipuation [A – I]. The appearance of the casts and foot show the correction [J]. A B J Remove the cast just before the remanipulation. After soaking the cast in water, use a cast knife to avoid frightening the infant. Heel-Cord Lengthening Nearly all of the infants will require a percutaneous heel-cord lengthening. Perform this in clinic with local anesthesia [A–E]. Cast in dorsiflexion [F]. Note the final correction [G]. Post-correction bracing is essential to prevent recurrents. Effective types of braces include: Denis Browne [A], Steenbeek [B], Lyon [C], and Gottenberg [D] designs. E D A B C D E F G This is a Global HELP publication For more publications, visit our web site at www.global-help.org This poster was created by Lynn Staheli and approved by Dr. Ignacio Ponseti.