Management of the relapsed clubfoot following treatment using the Ponseti method

Pooya Hosseinzadeh, Derek M. Kelly, Lewis E. Zionts

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations


The Ponseti method to treat idiopathic clubfoot deformity has proven to be reliable, and several centers have reported excellent outcomes. Although the method has been dependable in obtaining initial correction of the foot, relapse rates ranging from 26% to 48% have been reported. Whena relapsed deformity is detected early, treatment with a short series of manipulations and cast applications followed by resumption of postcorrective bracing may be all that is required to regain and maintain correction. In patients aged >2.5 years, especially those who may be refractory to further brace use, deformity correction by preoperative cast treatment, followed by anterior tibial tendon transfer to the third cuneiform, is a good treatment option. Other procedures, such as combined cuboidcuneiform osteotomy, posterior ankle and subtalar release, and, rarely, comprehensive posteromedial release or correction by gradual distraction, may be useful in select patients.

Original languageEnglish
Pages (from-to)195-203
Number of pages9
JournalJournal of the American Academy of Orthopaedic Surgeons
Issue number3
StatePublished - Jan 1 2017


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