Ponseti Treatment for Clubfoot in Children – Expert Pediatric Orthopedic Care

 Clubfoot is a common congenital foot deformity affecting approximately 7 in 1,000 children. Traditionally treated with surgery, the Ponseti Method has revolutionized clubfoot correction as a minimally invasive, highly effective approach. With proper care, children can enjoy active, normal lives.



What is Clubfoot?

Clubfoot, or talipes equinovarus, is a congenital condition in which a baby’s foot turns inward and downward due to shortened muscles and tendons. This affects the foot’s alignment, calf muscles, and overall leg length. Clubfoot can involve one or both feet and is more commonly seen in boys.

The exact cause is often unclear but may include genetic factors, maternal lifestyle, or conditions like low amniotic fluid. Early detection—either during prenatal ultrasound or at birth—is critical to initiate timely treatment.

Understanding the Ponseti Method for Clubfoot Correction

The Ponseti Method is recognized as the gold standard for non-surgical clubfoot treatment. It avoids invasive procedures in most cases and has a proven track record of success when performed by trained pediatric orthopedic specialists.

Unlike traditional approaches, the Ponseti Method addresses the entire lower limb, correcting foot alignment while promoting healthy growth and development.

Steps Involved in the Ponseti Method

1. Gentle Manipulation and Casting

Treatment usually begins within the first few weeks of life. The pediatric orthopedic surgeon carefully stretches and repositions the foot, applying a series of casts that are changed weekly. The casting phase generally lasts about six weeks, gradually correcting the deformity.

2. Achilles Tenotomy (If Needed)

If the Achilles tendon is too tight, a minor procedure under local anesthesia may be performed to release it. This allows the foot to fully settle into the corrected position, improving mobility and alignment.

3. Foot Abduction Bracing (Maintenance Phase)

After casting, children wear a clubfoot brace during naps and nighttime for several years to prevent recurrence. The brace schedule is gradually reduced as the child grows, typically ending by age four.

Ideal Age for Ponseti Treatment

Early intervention is essential for the best outcomes. Infant feet are more flexible and respond well to gentle manipulation. Delayed treatment may require longer casting or more extensive intervention.

Success Rates and Long-Term Outcomes

The Ponseti Method boasts a 95% success rate in correcting clubfoot, allowing children to achieve:

  • Properly aligned feet

  • Improved calf muscle function

  • Normal walking, running, and play

With consistent follow-up and bracing, recurrence is rare, and children can enjoy full mobility similar to their peers.

Common Questions About Ponseti Treatment

Does clubfoot return after Ponseti treatment?
 Recurrence is uncommon if braces are used correctly and follow-up appointments are maintained.

Will my child walk normally?
 Yes, children treated with Ponseti generally achieve excellent mobility and function.

Is physical therapy necessary?
 Physical therapy may help maintain foot flexibility and prevent stiffness after treatment.

How can parents support Ponseti treatment?
 Parents should follow bracing instructions, perform gentle stretching exercises as advised, and ensure regular visits with the pediatric orthopedic surgeon.

Supporting Your Child Through Treatment

Parents play a vital role in the Ponseti process. During casting, keeping the baby comfortable with toys, books, and interaction helps the child adjust to treatment. Proper bracing and follow-up ensure long-term correction and mobility.

The Ponseti Method offers a highly effective, non-surgical solution for clubfoot, giving children a bright and active future.

Schedule a Consultation with the Best Pediatric Orthopedic Surgeon – Dr. Venkatram Thyalapalli

If your child is diagnosed with clubfoot or you are concerned about foot alignment, schedule a consultation with Dr. Venkatram Thyalapalli, MBBS, M.S (Orthopedics), Ilizarov Specialist, a leading pediatric orthopedic surgeon in Kukatpally and Banjarahills, Hyderabad.

Dr. Venkatram Thyalapalli specializes in:

  • Ponseti Method for clubfoot correction

  • Pediatric orthopedic surgery

  • Limb deformity correction

  • Pediatric orthopedic care for infants and children

He practices at:

  • Rainbow Children’s Hospitals, Kukatpally

  • Rainbow Children’s Hospitals, Banjarahills

Book your appointment today:
 📞 Call: 9177816855
 🌐 Visit: drvenkatramkidsortho.com

Early intervention with an experienced pediatric orthopedician ensures the best outcomes for children with clubfoot, supporting healthy foot development, mobility, and an active childhood.

Comments

Post a Comment

Popular posts from this blog

Understanding Cerebral Palsy: A Guide for Parents and Caregivers

Image
  Cerebral Palsy (CP) is a neurological disorder that affects movement, muscle tone, and posture. It is caused by damage to the developing brain, often before birth. As a leading pediatric orthopedic specialist in Kukatpally and Banjara Hills, Dr. Venkatram has extensive experience in diagnosing and managing CP, helping children lead better lives through early intervention and specialized treatments. What is Cerebral Palsy? Cerebral Palsy is a group of disorders that primarily affect a child's ability to move and maintain balance. It is the most common motor disability in childhood. The severity of CP varies from mild to severe, and while it is a lifelong condition, proper medical care and therapy can significantly improve quality of life. Causes of Cerebral Palsy The exact cause of CP isn't always known, but some of the most common risk factors include: Prenatal factors: Infections during pregnancy, premature birth, and lack of oxygen supply to the baby’s brain. Perinatal fa...
Read more

Understanding Dislocations: Causes, Symptoms, and Treatment

Image
 Dislocation is a common orthopedic injury that occurs when the bones in a joint are forced out of their normal position. It can affect various joints, including the shoulder, knee, hip, elbow, and fingers. Children and adolescents are particularly vulnerable to dislocations due to their active lifestyles and developing skeletal structures. Dr. Venkatram, the best orthopedic pediatrician in Kukatpally and Banjara Hills, specializes in treating joint dislocations in children, ensuring optimal recovery and long-term joint health. In this blog, we will explore the causes, symptoms, and treatment options for dislocations in children. What is a Dislocation? A dislocation occurs when the ends of two connected bones are displaced from their normal alignment. It can result from direct trauma, a fall, or excessive force applied to the joint. Dislocations are often accompanied by severe pain, swelling, and limited movement. Common Causes of Dislocations in Children Falls and Trauma: Childre...
Read more

Uneven Shoulders: Could It Be Sprengel's Shoulder?

Image
  Noticeable differences in shoulder height can be a cause for concern. While it's common for some individuals to have slightly uneven shoulders, a significant disparity might indicate an underlying condition. Sprengel's shoulder is one such condition that can cause uneven shoulders. Dr. Venkatram, a renowned pediatric orthopedic surgeon, provides insights into this condition. What is Sprengel's Shoulder? Sprengel's shoulder is a rare congenital condition where one shoulder blade is higher than the other. It occurs when the shoulder blade fails to descend to its normal position during fetal development. This can result in a noticeable difference in shoulder height and limited shoulder movement. Symptoms of Sprengel's Shoulder Uneven shoulders Limited shoulder movement Neck pain Torticollis (head tilt) Diagnosis and Treatment Dr. Venkatram will conduct a thorough physical examination and may recommend imaging studies, such as X-rays or CT scans, to confirm the diagno...
Read more