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PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has beenpublished continuously since 1948. PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village,Illinois, 60007. Copyright © 2004 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275.
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Radical Reduction in the Rate of Extensive Corrective Surgery for Clubfoot Using the Ponseti Method
Jose A. Morcuende, MD, PhD; Lori A. Dolan,PhD(c); Frederick R. Dietz, MD; and Ignacio V. Ponseti, MD
ABSTRACT. Objectives. The purpose of this study was to evaluate the efficacy of the Ponseti method in reducing extensivecorrective surgery rates for congenital idiopathic clubfoot. Methods. Consecutive case series were conducted from January 1991 through December 2001. A total of 157 patients(256 clubfeet) were evaluated. All patients were treated by serial manipulation and casting as described by Ponseti. Main outcome measures included initial correction of thedeformity, extensive corrective surgery rate, and relapses. Results. Clubfoot correction was obtained in all but 3 patients (98%). Ninety percent of patients required