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Website links concerning the Ponseti method of clubfoot (talipes equinovarus) treatment
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This page contains links to articles and papers that are technical in nature.  Some may contain graphic pictures.  Some are abstracts, where the entire paper would need to be purchased.

Global HELP (Health Education Low-cost Publications), of Seattle, WA, USA, has recently published a medical booklet about the Ponseti method (contains graphic medical photographs). Here is the description from the Global HELP website:
"This 32 page, 4 color book, published in 2003, provides information on all aspects of Ponseti management of clubfoot. It was designed for health care professionals, trainees and families to provide information about this technique. The book was authored by Dr. Ponseti, his Iowa colleagues and others, who have mastered this casting technique. We recommend that Dr. Ponseti’s technique be learned in a course using this book as a reference.
Authors 
Foreword
Ignacio Ponseti

Contributors
Shafique Pirani, Fred Dietz, Jose Morcuende, Vincent Mosca, John Herzenberg, Stuart Weinstein, Norgrove Penny, Michiel Steenbeek
Editor
Lynn Staheli"
 
 

Abstract of study comparing the impact of casting material in the Ponseti method- plaster versus fiberglass.

Study about the effects of the FAB on leg rotation:

Abstract of study determining risks of bleeding complications during percutaneous tenotomy procedure, used to lengthen the Achilles tendon.

Comprehensive collection of twenty published and unpublished articles (in 2 files below) on the Ponseti method (compiled by Martin Egbert, circa October 2005).

Click here to download part 1 of 2 (8 Mb pdf file) first 81 pages of Ponseti articles

Click here to download part 2 of 2 last 72 pages of Ponseti articles (5 Mb pdf file)

June 2006 article from BioMechanics comparing gait analysis studies of children treated with the Ponseti method and French Physiotherapy method at Texas Scottish Rite, also a separate study on surgically corrected teens.

An overview from Currents, a publication of the University of Iowa Hospitals and Clinics, on the Ponseti method, Winter 2000
 
 

Abstract entitled "Clubfoot Relapses: Natural History and the Effects of Foot Hyperabduction" by Matthew Lovell, BS, Lori Dolan Ph.D, Ignacio Ponseti, M.D., and Jose A. Morcuende M.D., Ph.D
This information was initially presented at the 4th International Clubfoot Meeting in Istanbul, Turkey and the Annual Meeting of the American Academy of Pediatrics in Washington D.C. in 2005.

Click here to download pdf version of clubfoot relapse abstract

AAOS Annual Meeting, February 2005, podium presentation by Dr. Jose Morcuende on "The Identification and Treatment of Atypical Cases of Congenital Idiopathic Clubfoot"

Ponseti method article, co-authored by Dr. John Herzenberg, from the October, 2005, edition of the magazine, BioMechanics, The Magazine of Body Movement and Medicine:

Full text article "Changing Paradigm for the Treatment of Clubfoot", Journal of Orthopedic Nursing, January/February 2005
 
 

Abstract entitled: Ponseti technique for the correction of idiopathic clubfeet presenting up to 1 year of age. A preliminary study in children with untreated or complex deformities.
Conducted by the Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul University, Istanbul, Turkey

Abstract and full text study from the journal Pediatrics, February 2004 issue, titled "Radical Reduction in the Rate of Extensive Corrective Surgery for Clubfoot Using the Ponseti Method," by Jose A. Morcuende, MD, PhD, Lori A. Dolan, PhD(c), Frederick R. Dietz, MD and Ignacio V. Ponseti, MD, Vol. 113 No. 2, pp. 376-380. 
 

 
 
Abstract from the Journal of Foot and Ankle Surgery from Sept/Oct 2003 titled, "Evaluation of the treatment of idiopathic clubfoot by using the Ponseti method" by M. Colburn and M. Williams.  Evaluates cases of 34 infants (57 individual feet) treated with the Ponseti method.
Link to NCBI PubMed list abstract:

Abstract of article by Noonan KJ, Richards BS, titled "Nonsurgical management of idiopathic clubfoot," published in the Journal of the American Academy of Orthopedic Surgeons, Nov.-Dec. 2003

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14686824&dopt=Abstract

 

Abstract of article by Dobbs MB, et al, titled "Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet," published in the Journal of Bone Joint Surg Am. 2004 Jan; 86-A(1):22-7. "The purpose of this study was to examine the patient characteristics and demographic factors related to the family that are predictive of recurrent foot deformities in patients treated with this method."

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14711941&dopt=Abstract

PDF file of this paper: http://www.jbjs.org/Comments/pdf/JBJA086010022.pdf

 

 

"Commentary and Perspective" on above article, by Jose A. Morcuende, MD, PhD, and Stuart L. Weinstein, MD, Journal of Bone and Joint Surgery, January 2004:

http://www.jbjs.org/Comments/2004/cp_jan04_morc-wein.shtml

 

Abstract of paper by E. Ippolito, P. Farsetti, R. Caterini, and C. Tudisco, performed at the Dept. of Orthopaedic Surgery, University of Rome, Rome, Italy.  "Long-Term Comparative Results in Patients with Congenital Clubfoot Treated with Two Different Protocols".  One group used the Ponseti method with limited posterior ankle release.  JBJS (AM) 85: 1286-1294 (2003).

http://www.ejbjs.org/cgi/content/abstract/85/7/1286

Abstract of article by Herzenberg, John E. M.D.; Radler, Christof M.D.; Bor, Noam M.D, titled "Ponseti Versus Traditional Methods of Casting for Idiopathic Clubfoot," published in the Journal of Pediatric Orthopaedics: Volume 22(4) July/August 2002 pp 517-521  

http://www.pedorthopaedics.com/pt/re/jpedortho/abstract.00004694-200207000-00019.htm;jsessionid=AO7F5s02nz4YxwZV5FDJbTiQRsdWB1Fi9qTl9laIIZQOi9eHwlCw!-2046578978?index=1&results=1&count=10&searchid=3&nav=search

Summary note from the College of Foot and Ankle Surgeons, Oct. 2002, about above article, comoparing traditional casting vs. Ponseti method:

Abstract of an article by Lehman WB et al, titled, "A method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot," published in the Journal of Pediatric Orthopedics, March 2003.

Article on clubfoot at a web site called E-medicine that was written in May 2002. It has a fairly thorough presentation of information on many aspects of clubfoot including rates of occurance, theories on how it develops, clinical and x-ray evaluation, different treatment methods including traditional casting, Ponseti, surgery, operative procedures, Ilizarov, potential complications of different methods, Relapsing, Outcomes, the future and controversies and (graphic) photos. It was written by Dr. John Herzenberg of Maryland and Dr. Minoo Patel of Melbourne, Australia. They are pediatric orthopedists who both switched over to the Ponseti method in the past 5 years.

Summary of a report for the American Academy of Orthopedic Surgeons' 2004 Annual Meeting:
 
Results of the Ponseti Method in Patients with Clubfoot Associated with Arthogryposis, by Jose A. Morcuende, MD, Matthew Barrett Dobbs, MD, Steven L. Frick, MD, Ignacio V. Ponseti, MD. "This study demonstrates that the Ponseti method is very effective for the correction of patients with clubfoot associated to arthrogryposis."
 
 

Summaries of reports presented at the American Academy of Orthopedic Surgeons' 2002 Annual Meeting:
 

AAOS On-Line Service - 2002 Annual Meeting Podium Presentations Method for Evaluating the Effectiveness of the Iowa (Ponseti) Clubfoot Technique

http://www.aaos.org/wordhtml/anmt2002/sciprog/051.htm

 

AAOS On-Line Service - 2002 Annual Meeting Podium Presentations Idiopathic Clubfoot Treatment by Manipulation and Casting: Age-Related Success in Correction of the Deformity

http://www.aaos.org/wordhtml/anmt2002/sciprog/052.htm

 

AAOS On-Line Service - 2002 Annual Meeting Podium Presentations Ponseti Clubfoot Treatment in Older Children for Whom Traditional Casting Has Failed American Academy of Orthopaedic Surgeons February 13 - 17, 2002 Dallas, TX Podium Presentations Ponseti Clubfoot Treatment in Older Children for Whom Traditional Casting Has Failed Paper No: 053 Wednesday, February 13, 2002 01:24 PM -

http://www.aaos.org/wordhtml/anmt2002/sciprog/053.htm

 

The Technique and Results of the Ponseti Method for Treatment of Congenital Clubfoot

Poster presented at AAOS 2001 Annual Meeting, San Francisco

http://www.aaos.org/wordhtml/anmt2001/poster/pe116.htm

 

 

An interesting POSNA article about clubfoot (not strictly about Ponseti method):

An interesting article from the Duchess of Kent Children's Hospital which, among other discussion, compares the Kite method to the Ponseti method, but has some misleading percentages quoted (as of June 2003):

Article abstract from the Journal of the Southern Orthopedic Association (date unknown), by Dr. J. Scott Doyle, Children’s Hospital of Alabama and the UAB Division of Orthopaedic Surgery, reporting on his success in initial use of the Ponseti method:

 

The effect of the internet in the treatment of congenital idiopathic clubfoot.

Iowa Orthop J. 2003;23:83-6   Morcuende JA, Egbert M, Ponseti IV. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14575256&dopt=Abstract