ArticleCureus2026
Evaluating the Effectiveness of the Ponseti Technique in Treating Idiopathic Clubfoot: Long-Term Outcomes From an Indian Tertiary Care Centre.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Clinical and Ultrasonographic Outcomes of Percutaneous Achilles Tenotomy Using an 18-Gauge Needle in Idiopathic Clubfoot: A Prospective Study.Journal of orthopaedic case reports · 2026Article
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6 authors.
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Abstract
introductionCongenital talipes equinovarus (CTEV) is a common pediatric musculoskeletal deformity, with a male predominance. The Ponseti method, which involves serial casting and bracing, has become the global standard because of its high success rate and reduced need for surgery. This study aimed to evaluate the long-term effectiveness of the Ponseti method in managing idiopathic clubfoot at a tertiary care centre in India. MATERIALS AND
methodsThis retrospective study analyzed patients with idiopathic clubfoot treated with the Ponseti method at our institute. A total of 331 patients were included, of whom 219 (66%) had bilateral involvement and 112 (34%) had unilateral clubfoot, accounting for 550 affected feet. The inclusion criteria were the absence of prior surgery and the availability of complete records. Treatment included weekly casting, Achilles tenotomy, and bracing with Denis-Browne splints. Outcomes were assessed using Pirani scores.
resultsIn our study, 71.29% (n = 236) were males and 28.7% (n = 95) were females. The mean age at presentation was 1.20 months. A total of 94.7% (n = 521) of the feet achieved full correction, with Pirani scores decreasing from 4.36 to 0.43 (p < 0.0001). Tenotomy was required in 77.20% (n = 425) of feet for equinus correction. The average number of casts required for correction was 5.18. Residual deformities were observed in 5.3% (n = 29) of feet. Poor compliance with the bracing protocol was the main reason for these residual deformities in our study.
conclusionThe Ponseti method remains a highly effective and reliable technique for managing idiopathic clubfoot when applied with adherence to the protocol and adequate caregiver support. Our findings not only reaffirm its global effectiveness but also highlight the importance of early treatment initiation, which reduces the number of casts required and improves outcomes compared with later interventions. The Ponseti technique markedly decreased the need for surgical correction of CTEV in our setting. Sustained bracing and follow-up are critical for preventing relapse. Future research should focus on identifying barriers to brace compliance and evaluating strategies to improve long-term outcomes.
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