Ponseti Way


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

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

Ponseti technique, how comfortably as traditional, a 1st phase includes gypsum foot from a toes to the upper thigh. How, in this method, the position of the bones of the foot is corrected in some way: in some planes. A physician who practices this approach must enjoy especial training. Just to correct foot position to change 6-7 times a plaster cast, every time changing the position of a foot and stretching a ligaments in a especial way.

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

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

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

At the beginning of braces must be worn by a baby 23 hours every day, then it is time gradually shortened to two years is usually enough to wear them alone for a night's sleep. Depending on the treatment of clubfoot need continue to 2-4 or even 5 years.

Relapses occur in approximately 6 out of 100 children treated by a Ponseti way. In this case, can help re-rate casts, usually shorter, and once again wearing the brace.

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