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An estimated 80% of clubfoot cases occur in low to middle-income countries. Incidence of clubfoot is estimated to be 1-1.5 per 1000 births, and male to female occurrence is 3:1. (1) Left untreated, this congenital anomaly becomes a “neglected clubfoot” and can result in lifelong hardships including limited ambulation related to gait deviations, pain, foot deformities and an inability to wear shoes. Without treatment, this health condition can lead to functional limitations with limited independence in activities of daily living and participation restrictions within the family and community related to decreased mobility. (2)
The intervention presented is the main components of the Ponseti approach which consists of a defined sequence of manipulation of the foot followed by a period of casting and, in approximately 90% of the cases, an Achilles tenotomy. Long term follow-up is bracing which continues for 3-5 years after the initial treatment period of manipulation. A comparison of Ponseti and conservative non-Ponseti methods achieved a good to excellent prognosis in an average of 91.6 % vs 76.6% of patients. (3)(4)
University of St. Augustine
San Marcos, CA
Clubfoot, Achilles Tendon, Tenotomy, Musculoskeletal Manipulations, Braces
Orthopedics | Pediatrics | Physical Therapy | Physiotherapy
Lieb-Lundell, Cornelia, "What is Congenital Talipes Equinovarus?" (2019). San Marcos, Fall 2019. 4.