Open Access
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(06): 683-688
DOI: 10.1055/s-0041-1735833
Artigo de Atualização
Pé e Tornozelo

Congenital Clubfoot – Is the Ponseti Method the Definitive Solution?[*]

Article in several languages: português | English

Authors

  • Felippi Guizardi Cordeiro

    1   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
  • Rodrigo Sousa Macedo

    1   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
  • Bruno Sérgio Ferreira Massa

    1   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
  • Patricia Moreno Grangeiro

    1   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
  • Alexandre Leme Godoy-Santos

    1   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
  • Túlio Diniz Fernandes

    1   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil


Financial Support There was no financial support from public, commercial, or non-profit sources.

Abstract

Congenital clubfoot is one of the most common deformities at birth. The inadequacy or absence of treatment causes serious limitations for people with this condition. The initial treatment using the Ponseti method ensures functional results superior to other treatment modalities previously proposed. However, recurrences and neglected feet are still a challenge today. An understanding of the pathophysiology of the disease, as well as of the anatomy and local biomechanics and a thorough clinical and radiological evaluation of patients are essential to understanding the limits of the method and choosing the best treatment.

* The present study was carried out at the Institute of Orthopedics and Traumatology, Hospital das Clínicas, School of Medical Sciences, Universidade de São Paulo, São Paulo, SP, Brazil.




Publication History

Received: 29 July 2020

Accepted: 23 April 2021

Article published online:
07 December 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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