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Congenital clubfoot is one of the most frequent pathologies of the musculoskeletal system. The treating of clubfoot by Ponseti gives promising results and complete correction of the deformity in 90-95% of patients sparing them from extensive surgery. In the Yaroslavl Regional Children's Hospital from May 2006 to December 2007 54 children (83 feet) with severe congenital clubfoot were treated. Treatment for all patients was initiated at the age of 1 year. With remote monitoring for 5 years recurrences were noted in 19.3% of cases. Despite its high efficacy in patients under the age of three years, non-compliance of brace wearing results in the number of recurrences and require re-gypsum. In older children (3 to 5 years) the treatment by Ponseti is supplemented by transfer of tibialis anterior muscle tendon. In cases of postoperative recurrence of the treatment program is complemented by local releases and arthrodesis.

About the authors

V. F. Blandinskiy

Yaroslavl State Medical Academy

Author for correspondence.
Russian Federation

M. A. Vavilov

Yaroslavl Regional Children’s Hospital

Russian Federation

I. V. Gromov

Yaroslavl State Medical Academy

Russian Federation


  1. Кузнечихин Е.П., Ульрих Э.В., Хирургическое лечение детей с заболеваниями и деформациями опорно-двигательной системы. М.: Медицина; 2004, 483 с.
  2. Beyaert C., Haumont T., Paysant J. et al. The effect of intuming of the foot on knee kinematics and kinetics in children with treated idiopathic clubfoot. Clin. Biomech. (Bristol). 2003; 18:670.
  3. Davies T.C., Kiefer G., Zernicke R.F. Kinematics and kinetics of the hip, knee, and ankle of children with clubfoot after posteromedial release. J. Pediatr. Orthop. 2001; 21:366.
  4. Hee H.T., Lee E.H., Lee G.S. Gait and pedobarographic patterns of surgically treated clubfeet. J. Foot Ankle Surg. 2001; 40:287.
  5. Huber H., Dutoit M. Dynamic foot-pressure measurement in the assessment of operatively treated clubfeet. J. Bone Joint Surg. Am. 2004; 86:1203.
  6. Karol L.A., Concha M.C., Johnston C.E. 2nd Gait analysis and muscle strength in children with surgically treated clubfeet. J. Pediatr. Orthop. 1997; 17:790.
  7. Karol L.A., O'Brien S.E., Wilson H. et al. Gait analysis in children with severe clubfeet: Early results of physiotherapy versus surgical release. J. Pediatr. Orthop. 2005; 25:236.
  8. Noonan K.J. Richards B.S. Nonsurgical management of idiopathic clubfoot. J. Am. Acad. Orthop. Surg. 2003; 11:392.
  9. Ponseti I.V. Congenital clubfoot. Fundamentals of treatment Ponseti. Oxford; New York: Oxford University Press; 1996.140 p.
  10. Swann M., Lloyd-Roberts G.C., Catterall A. The anatomy of uncorrected club feet. A study of rotation deformity. J. Bone Joint Surg. Br. 1969; 51:263.

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