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.
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
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