Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method?

Abstract

PurposeTo point out the need to take into account the dysplastic nature of tarsal bones when treating idiopathic clubfoot (CF).MethodsReview the published evidence on the developmental abnormalities of tarsal bones in idiopathic CF.ResultsThe literature review provides abundant proof of the existence of delayed appearance and slower development of ossification centres of tarsal bones in idiopathic clubfoot.ConclusionGentle manipulations and casting are the cornerstone of the Ponseti method. The biological response of all foot elements is critical for a successful outcome. Delayed ossification and abnormal development of tarsal bones in idiopathic CF may affect the results. Development of a personalized tailored bracing protocol based on severity assessment and response to casting treatment will improve results and quality of care in CF management.Level of EvidenceV