Use of the Foot Abduction Orthosis Following Ponseti Casts: Is It Essential?

  title={Use of the Foot Abduction Orthosis Following Ponseti Casts: Is It Essential?},
  author={Mihir M. Thacker and David M Scher and Debra A. Sala and Harold J.P. van Bosse and David S. Feldman and Wallace B. Lehman},
  journal={Journal of Pediatric Orthopaedics},
The purpose of this study was to evaluate the need for the use of a foot abduction orthosis (FAO) in the treatment of idiopathic clubfeet using the Ponseti technique. Forty-four idiopathic clubfeet were treated with casting using the Ponseti method followed by FAO application. Compliance was defined as full-time FAO use for 3 months and part-time use subsequently. Noncompliance was failure to fulfill the criteria during the first 9 months after casting. Feet were rated according to the Dimeglio… 
Evaluation of Effectiveness of Steenbeek Foot Abduction Orthosis in Maintaining Correction in Clubfoot Treatment by Ponseti Method
The Ponseti method comprises of serial manipulation and a specific casting technique, with Achilles tenotomy, when needed, to correct any remaining equinus deformity, followed by the use of a foot abduction orthosis (FAO), proving it to be a cost effective approach to reduce recurrence in clubfoot in developing countries.
The Influence of Achilles Tenotomy and Compliance with Foot Abduction Orthosis on the Relapse Rate of Ponseti Treatment for Idiopathic Clubfoot: A Regional Study.
The treatment of idiopathic clubfoot by the Ponseti method was successful and reliable, proving efficiency and universality of the method and a dominant predictor for relapse was not seen.
Brace Yourselves: Outcomes of Ponseti Casting and Foot Abduction Orthosis Bracing in Idiopathic Congenital Talipes Equinovarus.
The study showed a statistically significant relationship between the difficulty of CTEV correction and the risk of recurrent deformity requiring treatment and could be used to provide prognostic information for patients' families.
Treatment of Idiopathic Clubfoot: Experience With the Mitchell-Ponseti Brace
The Mitchell-Ponseti (MP) foot abduction orthosis was introduced to provide a more user-friendly alternative to the traditional Denis-Browne (DB) brace in the treatment of idiopathic clubfoot and families found the brace easy to use.
A New Dynamic Foot Abduction Orthosis for Clubfoot Treatment
The articulating foot abduction orthosis is well tolerated by patients and parents and results in a higher compliance rate and a lower complication rate than what were observed with the traditional foot abduction Orthosis.
Orthosis Noncompliance After the Ponseti Method for the Treatment of Idiopathic Clubfeet: A Relevant Problem That Needs Reevaluation
The Ponseti postcasting orthotic protocol needs to be reevaluated to a less demanding option to improve outcome and brace compliance and show any correlation with the patient demographic data or parent's education level, insurance, or cultural factors as proposed previously.
A new unilateral abduction orthosis for Ponseti-treated clubfoot: A cohort study to assess compliance
Good compliance and parental satisfaction, coupled with no deterioration in foot morphology, abduction or dorsiflexion present the abduction dors iflexion mechanism boot as a feasible alternative to the traditional boots and bar, particularly in children with unilateral congenital talipes equinovarus.
Improved bracing compliance in children with clubfeet using a dynamic orthosis
The dynamic foot abduction brace results in improved compliance, fewer recurrences, fewer skin complications, and reduced rates of surgery in idiopathic clubfoot than the traditional brace after non-operative correction with the Ponseti method.
The Ponseti Method for Clubfoot Correction
The Ponseti technique is rapidly becoming the most widely practiced method for initial treatment of congenital clubfeet in infants and long-term results indicate that foot function is comparable with that of normal feet.
Results of treatment of clubfoot by Ponseti's technique in 40 cases : Pitfalls and problems in the Indian scenario
A strict protocol and parent education can improve the outcome for all cases with the Ponseti technique of conservative treatment of clubfoot.


A method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot
To demonstrate serial post-treatment change in clubfeet over time, three clubfoot rating systems were utilized in the current study to establish tools which can be used to judge initial success with the Ponseti technique.
Ponseti Versus Traditional Methods of Casting for Idiopathic Clubfoot
Based on the authors' initial success with the Ponseti method, they no longer believe that PMR is required for most cases of idiopathic clubfoot.
Classification of Clubfoot
Clubfeet must be classified according to severity to obtain reference points, assess the efficacy of orthopaedic treatment, and analyze the operative results objectively. A scale of 0–20 was
Congenital Club Foot: The Results of Treatment
The results of treatment in sixty-seven patients with a total of ninety-four severe congenital club feet were evaluated five to thirteen years after the initial treatment, and a subcutaneous tendo achillis tenotomy was performed in the primary treatment to obtain a complete correction of the equinus deformity.
Long-term comparative results in patients with congenital clubfoot treated with two different protocols.
  • K. B. Mukerjee
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 2004
This article tends to raise doubts about the widespread and perhaps empirical use of conventional methods of manipulation and soft-tissue release for the treatment of moderate-to-severe clubfoot deformity.
Long-term results of treatment of congenital club foot.
In the majority of patients, foot and ankle motion was limited and the talocalcaneal angles as seen on the anteroposterior and lateral roentgenograms were not fully corrected, but transfer of the anterior tibial tendon to the third cuneiform appeared to prevent relapse.
Congenital Clubfoot: Fundamentals of Treatment
Treatment of idiopathic clubfoot. A thirty-year follow-up note.
  • M. Altchek
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 1996
Long-term results of treatment of congenital clubfoot
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  • 1980