CTEV TREATMENT USING THE PONSETI APPROACH


Trishlaortho

Uploaded on Feb 5, 2026

Congenital Talipes Equinovarus (CTEV), commonly known as clubfoot, is a congenital deformity characterized by equinus, varus, cavus, and adduction of the foot. The Ponseti method is the gold-standard, non-surgical treatment for CTEV and is widely accepted due to its high success rate and minimal complications. The Ponseti approach involves gentle manipulation and serial casting, usually initiated within the first few weeks of life. The foot is gradually corrected by weekly manipulations followed by the application of a long leg plaster cast, each cast correcting a specific component of the deformity. Typically, 5–7 casts are required to achieve correction of cavus, adduction, and varus deformities.

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CTEV TREATMENT USING THE PONSETI APPROACH

CTEV TREATMENT USING THE PONSETI APPROACH www.trishlaortho.com OVERVIE WClubfoot is a common condition seen in newborns, affecting about 0.5–2 per 1,000 “ live births. Early diagnosis and timely CTEV treatment lead to excellent outcomes. Treatment can safely begin soon after birth. Consulting a specialist early is crucial for successful correction. IMPORTANCE OF EARLY SPECIALIST CARE Clubfoot (CTEV) treatment by a trained orthopedic specialist helps children achieve normal foot function. Early intervention reduces the need for surgery and ensures better long-term mobility. Parents should seek expert care as soon as the condition is identified. UNDERSTANDING THE PONSETI METHOD The Ponseti method is a globally accepted, non-surgical treatment for clubfoot in infants. It involves gentle manipulation, serial casting, and bracing. When followed correctly, it delivers highly effective and lasting results. WHEN TO START PONSETI TREATMENT Treatment is ideally started within the first few weeks of life. Newborn foot tissues are soft and respond well to gentle correction. Early treatment helps avoid complex surgeries later in life. DURATION OF TInitRialE cAorTrecMtionE NusuTally takes 6–8 weeks through weekly casting. This is followed by long-term bracing to maintain correction. Proper adherence to the treatment plan is essential for success. STAGES OF THE PONSETI TMheE PoTnsHetiO treDatment has two phases: the correction phase and the maintenance phase. The first phase corrects the deformity, while the second prevents recurrence. Both phases are equally important for lasting results. TREATMENT DPuHringA StheE treatment phase, weekly casting and gentle foot manipulation are performed. After 5–6 casts, the foot reaches proper alignment. A minor procedure (tenotomy) may be done, followed by a final cast for 3–4 weeks. Early treatment of clubfoot ensures the best outcomes. At Trishla Ortho, expert specialists provide CONCLUSION personalized and comprehensive Ponseti care. With the right guidance, children can recover fully and lead active, healthy lives. CONTACT INFORMATION PHONE 7379087121 (WhatsApp), 9415014994 WEBSITE www.trishlaortho.com ADDRESS Trishla Orthopedic Clinic & Rehab center, 182C / 350A, Tagore Town, Prayagraj (Allahabad) U.P-211002, India