Preliminary evaluation of implementing the Ponseti method for correction of clubfoot in Vietnam

Abstract

To evaluate the short-term results of the non-surgical Ponseti method training programs run in Ho Chinh Minh City, Vietnam. A questionnaire was developed and distributed to the 57 trainees who had completed one of the 3-day training courses. Of the 57 questionnaires distributed, 36 (63%) were completed and returned for evaluation. Most responders were continuing to use the Ponseti method for management of clubfoot. On average, each trainee had treated 16 babies with clubfoot, most of whom were less than 12months of age, within 2years of the initial training course and were achieving good clinical correction. The major problems identified were the inability to perform an Achilles tenotomy, lack of availability of the foot abduction splint, and parent compliance. The course materials were being used for reference and for dissemination of the Ponseti method to other clinical peers. Evaluation of the Ponseti method training program for management of clubfoot in Vietnam revealed continued use of the technique at 12-24months post-training. A longer term and more objective assessment of the babies/children treated and of the associated gait function and foot comfort would be beneficial.