Information on Club Feet in Black and White

Medical Information on Club Feet

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Ponseti method

Watch the video on the Ponseti Method and information on Club Feet
The Ponseti method is a non surgical procedure that is now very common.
The Ponseti Method was discovered by Doctor Ignacio Ponseti is the 1940's.

The way the Ponseti Method works is by gradually manipulating the foot to the right position over a couple of weeks, and maintaining the correction by wearing a special brace, which is a pair of shoes connected by a metal rod.

The Ponseti Method treatment normally starts when the baby is just a couple of days old.
The Doctor manipulates the foot into a better position and is help there by a plaster cast, which is removed within 1 week. After the plaster is removed, further manipulation is applied, then another plaster cast. This procedure continues for up to 8 weeks.

You can see a difference in the baby's feet, by looking at the plaster each week.
Using the Ponseti Method, the tendons in the feet become stretched allowing for more flexibility.
After the series of plaster casts, a simple procedure called a "Tenotomy"

The "Tenotomy" procedure involves snipping a tendon at the back of the heel, this is a very basic procedure, that only takes minutes to perform. After the procedure, most of the time, you can not tell that this was preformed. There is normally no scaring and no problems after.

The "Tenotomy" Procedure allows the foot to be more flexible.

Click here for more information on the Ponseti Method, including videos.

A baby in plaster during the Ponseti Method to correct Club Feet
A baby in plaster during the Ponseti Method to correct Club Feet


Physiotherapy is used to sometimes correct Club Feet / Club Foot or just to help.

When a baby is born with Club Feet, a physiotherapist will start manipulating the foot, to try and move the feet into the correct position, this is a very successful procedure, but does not always work.

Physiotherapists also help after operations, especially the operation External Fixators, because you can't walk for the first few months after the operation, and the feet have changed position, you need to learn to walk again.


External Fixators

External Fixators is an operation where the surgeon places pins through the leg, connected to a frame.

The External Fixators was pioneered in the UK by a doctor in Chertsey Hospital, Surrey to help cure Club Feet and other orthopaedic problems.

Child with External Fixators Images of the External Fixators Child with External Fixators
X-Ray of the foot with External Fixators

How External Fixators Works

External Fixators help Club Feet by the surgeon inserting some screws through the legs, attached to an External Frame.
The External Fixators stay on the feet and legs for about 5 months. After the External Fixators come off, plaster is applied for about 2-3 months.

With the External Fixators on the legs, you turn a nut with a spanner 1 quarter of a turn, 4 times a day, over the period that the External Fixators are on the legs. By doing this, the bone moves into a better position, making it easier to walk.

How the External Fixators works
Click on image to Enlarge

Triple Fusion

The Triple Fusion operation is a very common operation.
The operation sounds worse than it is. The surgeon replaces the bones in your feet / foot and fuses then bones together using pins. This operation corrects the shape of Club Feet / Club Foot.

Sometimes the surgeon may have to take some bone, normally from your hip. The only draw back of this operation is that it gives the foot less movement, but it should ease any pain.

The Triple Fusion Procedure

Pain Killers

Here is some information on Pain Killer.

NOTE: There are many types of painkillers, here is just a few examples, don't jump from one pain killer on the list, to another. Always ask your doctor before changing tablets. takes no responsibility in what you do with this information.

Commercial Name Main Use Main Ingredient
Paracetamol Pain, fever Paracetamol
Ibuprofen Pain, inflammation Ibuprofen
Nurofen Pain, fever, inflammation Ibuprofen lysine
Co-codamol Severe pain Paracetamol, codeine phosphate (500/30)
Tramacet Moderate to severe pain Tramadol hydrochloride, paracetamol
Tramadol Moderate to severe pain Tramadol hydrochloride
Morphine sulphate tablets Severe pain Morphine sulphate

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