Ponseti plaster technique for congenital clubfoot in children

  Congenital clubfoot (congenital talipes equinovarus or congenitalclubfoot) is one of the most common congenital limb deformities in children, characterized by a characteristic birth-appearing deformity – plantarflexion of the ankle and subtalar joints It is characterized by the deformity of the ankle and subtalar joint plantarflexion, hindfoot pronation, midfoot and forefoot inversion, pronation and plantarflexion, which seriously affects the growth and development of bones and joints in children.  It is now internationally accepted that the initial treatment of congenital clubfoot should be non-surgical and that the neonatal period is the best time to treat congenital clubfoot. The non-surgical treatment of congenital clubfoot proposed by Ponseti at the University of Iowa and emerging from North America, known as the Ponseti method, is becoming the most popular treatment for clubfoot in the world today.  The Ponseti method is now an internationally recognized non-surgical treatment for congenital clubfoot, and the rise and development of this treatment has led to encouraging results with a success rate of over 90% for clubfoot.  The incidence of clubfoot has been reported as high as 0.64-6.8‰ abroad, and according to statistics, nearly 200,000 children with clubfoot are born each year worldwide, 80% of which are in developing countries. The incidence of clubfoot ranks first among birth defects of the skeletal muscle system.  The incidence of clubfoot is the first among the birth defects of the skeletal muscular system. With about 12 million births per year, there are about 12,000 to 71,000 congenital clubfoot children born each year in China, especially in the western and remote poor areas.  The goal of treatment for congenital clubfoot is to obtain and maintain the normal structure and function of the foot and ankle as much as possible. Genetic studies may provide a new way of thinking about the treatment of this disorder in the future. Although we cannot yet prevent the development of clubfoot from birth, it is possible to correct and interrupt the development of severe deformities through early detection and effective early treatment.  The promoted Ponseti treatment for clubfoot is the core of the non-surgical treatment approach advocated by Prof. Ponseti. It is based on the idea that the talus head is the fulcrum of all orthoses and that all deformities of the clubfoot can be corrected at the same time through gentle manipulation, consisting mainly of early continuous cast orthosis with percutaneous Achilles tendotomy, supplemented by the wearing of an abduction brace and, if necessary, muscle transfer surgery, which can be initiated in the first days of life.  The Ponseti method is simple, practical, and effective, and can be mastered by pediatricians, health practitioners, rehabilitation physicians, and even technicians with a short training period. The Ponseti method is simple, practical and effective. It is also a simple and inexpensive tool that is well suited to our national situation.