Posteromedial Release versus Ponseti Treatment of Congenital Idiopathic Clubfoot: A Long-Term Retrospective Follow-Up Study into Adolescence

Figures & data

Figure 1 Revision surgery in both groups.

Note: Some feet underwent more than one procedure.

Abbreviation: TATT, tibialis anterior tendon transfer.

Table 1 Demographic Data of Study Population

	Ponseti Group	Surgical Group
Number of patients	24	23
Number of feet	34	31
Male/female	13/11	14/9
Unilateral	14	15
Mean age at follow-up	12.8±1.6	13.5±1.7

Table 2 Distribution of the Results in Both Groups Expressed in Number of Feet and Percentages

Result	Ponseti Group	Surgical Group
Excellent	8 (23.53%)	1 (3.23%)
Good	18 (52.94%)	13 (41.94%)
Fair	7 (20.59%)	12 (38.71%)
Poor	1 (2.94%)	5 (16.13%)

Table 3 Distribution of Residual Deformities in Both Groups

Deformity	Ponseti Group	Surgical Group
Adduction	13(38%)	13(42%)
Cavus	11(32%)	15(48%)
Equinus	5(15%)	10(32%)
Varus	2(6%)	9(29%)

Notes: A foot may present more than one deformity.

Table 4 Significantly Better Range of Motion in Clubfeet Treated with the Ponseti Method

Range of Motion	Ponseti Group	Surgical Group	Significance
	Mean (± SD)	Mean (± SD)
Dorsiflexion-plantar flexion	42.08 ± 12.55	27.64 ± 13.09	p<0.01
Varus-valgus motion of the heel	28.38 ± 6.48	20.09 ± 7.67	p<0.01
Supination-pronation of the forefoot	43.5 ± 11.44	25.77 ± 5.81	p<0.01