29 Sep 😬Does your baby have Congenital Clubfoot needing the Ponseti Method? 😲Has your child relapsed in their Clubfoot because they did not wear their Boots And Bar daily until 4 years old?
🦶The Ponseti method is considered the gold standard of treatment for clubfoot. The Ponseti Method for Clubfoot consists of the following stages of treatment:
🦶1. Gentle Manipulation and Serial Casting
Ponseti Method commences when baby is 1-2 weeks old. The foot is gently manipulated for about 1 minute every week to stretch the short and tight ligaments and tendons on the inside, back, and bottom of the foot. A cast is applied from the groin to the toes to maintain the stretch obtained by the manipulation. The cast is changed every week. Usually it takes 4 to 7 casts to achieve full correction of the clubfoot deformity. Even very stiff feet require no more than 9 casts to obtain maximum correction.
🦶2. Archilles Tendon Release
A minor office procedure is required to complete the correction in most feet. A Paediatric Orthopaedic Surgeon will carry out a simple procedure to release the Achilles tendon. A final cast is applied. The tendon regenerates at the proper length and strength by the time the cast is removed 3 weeks later.
At the end of the treatment, the foot should appear slightly overcorrected, assuming a flatfoot shape. It will return to normal in a few months.
🦶3. Boots And Bar
Clubfoot deformity tends to relapse after correction. To prevent relapses after removal of the last cast, a foot abduction brace must be worn, regardless of whether or not the Achilles tendon was cut. The Boots and Bar is worn 23 hours a day for at least 3 months and, thereafter, at night and during naps for 2 to 4 years.
😬Most families struggle to maintain the Boots and Bar until the child is 4 years old which results in a relapse of the clubfoot deformity between 2 to 4 years old.
If your child has relapsed in their clubfoot, reach out to speak to one of our 🤓Expert Paediatric Physiotherapists at My Favourite Physio on 📱(02) 9790 4233 or DM us @myfavouritephysio today!
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