Abstract
Congenital clubfoot treatment with external fixation: Italian experience since 2006
Highlights
Almost all primitive deformities and recurrences of clubfoot can be successfully treated with the Ponseti method, currently considered a gold standard in the treatment of clubfoot [1]
The main advantage of this technique is the high success rate compared to common complications in the classic surgical treatment of these deformities
Among these 6 patients, 3 had a second recurrence of the deformity at 5, 2 and 1.5 years respectively after the removal of the external fixator. 2 of these relapses were treated with an external fixator. 1, presenting only a relapse of the adduction component of the forefoot, was subjected to a medial capsulotomy associated with a wedge subtraction wedge osteotomy
Summary
Almost all primitive deformities and recurrences of clubfoot can be successfully treated with the Ponseti method, currently considered a gold standard in the treatment of clubfoot [1]. The late recurrence of clubfoot deformities, it is important to perform a neurological evaluation to rule out previously undiagnosed neurological pathologies Another entity is the inveterate clubfoot; by definition, these feet have never been treated and often show severe callus deformity on the lateral surface of the foot or at the level of the head of the talus. These feet do not have extensive scarring and/or postoperative retractions, and many can be treated with the Ponseti method, even in older children [4]
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