Electronic Letters to:

Children's Orthopaedics: A. F. Lourenço and J. A. Morcuende Correction of neglected idiopathic club foot by the Ponseti method J Bone Joint Surg Br 2007; 89-B: 378-381 [Abstract] [Full text] [PDF]

eLetters: Submit a response to this article

Electronic letters published:

Correction of neglected idiopathic clubfoot by the Ponseti method

Sharaf B Ibrahim   (4 June 2007)

Correction of neglected idiopathic clubfoot by the Ponseti method 4 June 2007
Sharaf B Ibrahim, Paediatric orthopaedic surgeon Orthopaedic Department, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. Send letter to journal: Re: Correction of neglected idiopathic clubfoot by the Ponseti method sharaf{at}mail.hukm.ukm.my Sharaf B Ibrahim	Sir, I read this paper with interest. We had treated a seven-year-old boy with bilateral clubfeet using a modification of this technique.1 We used short-leg casts which were changed weekly for six weeks. This was followed by Z-lengthening of the Achilles tendon and posterior releases of the ankle and subtalar joints for the residual equinus deformity. A short-leg cast was then used for two months followed by a custom-made ankle-foot orthosis. We agree with Dr Lourenco and Dr Morcuende that the Ponseti method is feasible in the older child. S. Ibrahim, FRCS, MS Orth, Paediatric Orthopaedic Surgeon, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. 1. Faisal SA, Halim A, Ibrahim S. The Ponseti method of treatment for a 7-year-old child with neglected clubfeet [abstract]. Singapore Orthop Assn Congress, 2006.