Clubfoot treatment

Ponseti and french functional methods are equally effective

Shawne Faulks, B. Stephens Richards

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Over the past 15 years, the reemergence of nonoperative treatment of clubfeet throughout the world has been profound. Two methods have been utilized-the Ponseti method and, to a lesser extent, the French functional method. Our review presents one institution's experience using both methods. Satisfactory initial correction was achieved in 95% of idiopathic clubfeet, regardless of method. However, maintenance of the correction was challenging as relapses occurred in 37% of feet treated by the Ponseti method and 29% of feet treated by the French functional method. At an average 4.3 year followup, using either method, posteromedial releases were avoided in 84% of our patients. Using gait analysis to evaluate the function of children treated with these techniques, there was no difference in cadence parameters between the two groups. More of the children treated with the French method walked with knee hyperextension, a mild equinus gait, and mild footdrop. In contrast, more of the patients in the Ponseti group demonstrated mildly increased stance-phase dorsiflexion and a calcaneus gait. Level of Evidence: Level V, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Original languageEnglish (US)
Pages (from-to)1278-1282
Number of pages5
JournalClinical Orthopaedics and Related Research
Volume467
Issue number5
DOIs
StatePublished - May 2009

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Clubfoot
Gait
Therapeutics
Foot
Calcaneus
Knee
Maintenance
Guidelines
Recurrence

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Clubfoot treatment : Ponseti and french functional methods are equally effective. / Faulks, Shawne; Richards, B. Stephens.

In: Clinical Orthopaedics and Related Research, Vol. 467, No. 5, 05.2009, p. 1278-1282.

Research output: Contribution to journalArticle

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