Step by Step: Management of Clubfoot by Ponseti Technique

RA Agrawal MS (Orthopaedics) AO/ASIF (Germany, Austria) Ilizarov (Russia)Director, Agrawal Orthopaedic Hospital, Gorakhpur, Uttar Pradesh, India; Past President, ASAMI, IndiaSureshwar Pandey MS (Surgery, Orthopaedics) FICS FIAMS FAC FAS FACS FNAMSEx-Head and Emeritus Professor, Department of Orthopaedics, RMCH, Ranchi, Jharkhand, India; Emeritus President, Indian Foot and Ankle SocietyRajat Agrawal MS (Orthopaedics) Senior Orthopaedic Surgeon, Agrawal Orthopaedic Hospital, Gorakhpur, Uttar Pradesh, India; President, ASAMI, India (2023-2025)

• IntroductionPlanes and Biomechanics of FootEtiology and PathogenesisPathoanatomyClinical History and ExaminationPhotography and Radiological EvaluationClassificationClassification of ClubfootClubfootDimeglio ClassificationPirani Classification of ClubfootPirani Score Record SheetClinical SignificanceTreatmentPrinciples of Ponseti TechniqueSteps of Ponseti TechniqueBracing and PhysiotherapyEvaluation in Serial Plaster CastsNeglected ClubfootNeglected Clubfoot Presenting between2 to 3 YearsNeglected Clubfoot Presenting between3 to 5 YearsNeglected clubfoot presenting after 5 years of ageIlizarov Technique based on Ponseti PrincipleRelapsed or Recurrent ClubfootRelapse of CavusRelapse of AdductionRelapse of Heel Varus and EquinusRelapse of SupinationTibialis Anterior Tendon Transfer for RelapsedClubfoot after Treatment with Ponseti MethodSecondary Clubfoot and Other ConditionsArthrogryposis Multiplex CongenitaSpina BifidaAmniotic Band SyndromeTibial HemimeliaErrors and ComplicationsMost Frequent Errors During Manipulation and Cast ApplicationMost Common Complications Encountered with Ponseti TechniqueAtypical ClubfootAetiologyPathoanatomyClinical features of Atypical ClubfootRadiographic EvaluationCase Studies