Treatment of Congenital Clubfoot with the Ponseti Method: A Case Series in Pediatric Patients
Treatment of Congenital Clubfoot with the Ponseti Method: A Case Series in Pediatric Patients
DOI:
https://doi.org/10.51473/rcmos.v1i1.2026.2233Keywords:
Clubfoot, Congenital Abnormalities, ManipulationAbstract
Congenital clubfoot is a common deformity that can compromise motor function when not treated properly. The Ponseti method is currently the conservative treatment of choice, showing high success rates. In this context, this study aims to analyze the clinical and functional evolution of four pediatric patients diagnosed with congenital clubfoot who underwent treatment with the Ponseti method. A descriptive, observational case series is presented involving four newborns diagnosed with idiopathic congenital clubfoot who were treated at the Orthopedics service of a public hospital in Brasília. The patients underwent correction using the Ponseti method, with serial manipulations, plaster immobilization, and tenotomy when indicated. Three female and one male patients were analyzed. Treatment began at 11 days of age, at six weeks, or in the first weeks of life. Two patients presented with bilateral deformity and two with unilateral left deformity. The number of weeks of plaster casting ranged from 5 to 11, with progressive correction through manipulations and serial changes to plaster casts. Percutaneous tenotomy of the Achilles tendon was performed in all cases between the fifth and twelfth week. No treatment-related complications occurred. The case series reinforces the efficacy and safety of the Ponseti method, demonstrating satisfactory deformity correction. The variability in casting time and tenotomy timing highlights the need for individualized treatment and systematic follow-up to prevent recurrence.
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Copyright (c) 2026 Gabriel Aguiar Rocha, Luiz Fernando Rocha Luz Ferreira, Revaldo Afonso Silva Junior, João Henrique Meneses Xavier, Juliano Bernadelli Guerra (Autor)
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