To Parents of Children Born with Clubfeet

Support Group of Parents with Children Born with Clubfoot

Ignacio Ponseti, MD
Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics
Last Revised: March 2004
Peer Review Status: Internally Peer Reviewed

Parents of infants born with congenital clubfeet should be informed that the majority of clubfeet can be corrected in about four to six weeks with the proper gentle manipulations and plaster casts.

Following the removal of the last cast and in order to prevent relapses, shoes or a molded orthotic attached to the ends of a metal splint are worn for two to three months and thereafter at night and during naps for an additional two to four years.

Babies treated without surgery will have normal-looking feet, with good mobility and good function throughout life.

The manipulations and casting for the initial treatment of clubfeet used by many orthopaedic surgeons is faulty if, after some months, soft tissue release surgery is required to correct the deformity.

A surgical approach to the treatment of the clubfoot deformity is not a reasonable alternative to the non-surgical treatment except for the rare cases where extreme fibrosis exists. Patients treated surgically develop stiffness, pain, and often have disabilities after adolescence.

The long-term functional outcomes of our technique have by far exceeded those of any other treatment for congenital clubfeet. Most importantly, our technique is safe, there is no damage to the ligaments and in a matter of two to three months the clubfeet are corrected. Our manipulation, casting and splinting procedure has never resulted in any disability for the patient.

A list of patients treated by us for clubfeet, and a list of doctors with expertise in our technique is provided.

You are invited to join other parents of children with clubfeet in an online support group.

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