Result of a Minimum 5-Year Follow-up after Ponseti Serial Casting in Congenital Idiopathic Clubfoot
Chotigavanichaya C, MD1, Eamsobhana P, MD1, Ariyawatkul T, MD1, Wongcharoenwatana J, MD1, Saelim C, MD1, Kaewpornsawan K, MD1
Affiliation : 1 Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Background : Ponseti technique has become a standard treatment for congenital idiopathic clubfoot. Some cases require surgical
release to achieve a pain-free, flexible and plantigrade foot.
Objective : To evaluate the result of congenital idiopathic clubfoot with Ponseti serial casting in intermediate-term follow-up.
Materials and Methods: The authors performed a retrospective cohort analysis of congenital idiopathic clubfoot patients who
underwent primary treatment by Ponseti serial casting and who were followed-up for at least 5 years between January 2006 and
December 2012. Demographic data, age at the beginning of treatment, Functional Rating System (FRS) clubfoot of Laaveg and Ponseti,
talocalcaneal angle x-ray, and complication data were collected.
Results : Thirty-three feet from 24 patients (14 males and 10 females) were included, with an average age at beginning of casting
treatment of 6.18 weeks (range: 1 to 24). Average follow-up time was 5.94 years (range: 5.07 to 8.35). Mean FRS score was 95.35
(range: 89 to 98). Average talocalcaneal angle of AP and lateral view were 24.89° and 23.46°, respectively. Complications were found
in 5 feet and recurrence occurred in 5 feet.
Conclusion : Ponseti serial casting for treatment of congenital idiopathic clubfoot showed satisfactory FRS score at the 5-year
follow-up.
Keywords : Congenital idiopathic clubfoot, Complication of clubfoot, Recurrent of clubfoot, Ponseti serial casing
