Correction of neglected idiopathic XXXX by the Ponseti method.

@entity1 @entity5110 @entity5149
The Ponseti method of treating @entity5149 has been shown to be effective in @entity1 up to two years of age. However, it is not known whether it is successful in older @entity1 . We retrospectively reviewed 17 @entity1 (24 feet) with @entity5149 who presented after walking age and had undergone no previous treatment. All were treated by the method described by Ponseti, with minor modifications. The mean age at presentation was 3.9 years (1.2 to 9.0) and the mean follow-up was for 3.1 years (2.1 to 5.6). The mean time of immobilisation in a cast was 3.9 months (1.5 to 6.0). A painless plantigrade foot was obtained in 16 feet without the need for extensive soft-tissue release and/or bony procedures. Four @entity1 (7 feet) had recurrent equinus which required a second tenotomy. Failure was observed in five @entity1 (8 feet) who required a posterior release for full correction of the @entity5110 . We conclude that the Ponseti method is a safe, effective and low-cost treatment for neglected idiopathic @entity5149 presenting after walking age.
