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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 8,
1085-1089.
doi: 10.1302/0301-620X.88B8.17919 Copyright © 2006 by British Editorial Society of Bone and Joint Surgery Early results of a physiotherapist-delivered Ponseti service for the management of idiopathic congenital talipes equinovarus foot deformityN. Shack, MCSP, Clinical Specialist Physiotherapist1; and D. M. Eastwood, MB, FRCS, Consultant Orthopaedic Surgeon2
1 Department of Physiotherapy, The Royal Free Hospital, Pond Street, London NW3 2QG, UK. Correspondence should be sent to Miss D. M. Eastwood; e-mail: D.M.Eastwood{at}btinternet.com
We studied 24 children (40 feet) to demonstrate that a physiotherapist-delivered Ponseti service is as successful as a medically-led programme in obtaining correction of an idiopathic congenital talipes equinovarus deformity. The median Pirani score at the start of treatment was 5.5 (mean 4.75; 2 to 6). A Pirani score of We believe that the Ponseti technique is suitable for use by non-medical personnel, but a holistic approach and good continuity of care are essential to the success of the programme. This article has been cited by other articles:
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5 predicted the need for tenotomy (p < 0.01). Of the 40 feet studied, 39 (97.5%) achieved correction of deformity. The remaining foot required surgical correction. A total of 25 (62.5%) of the feet underwent an Achilles tenotomy, which was performed by a surgeon in the physiotherapy clinic. There was full compliance with the foot abduction orthoses in 36 (90%) feet. Continuity of care was assured, as one practitioner was responsible for all patient contact. This was rated highly by the patient satisfaction survey. 
