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Rural Orthopaedic Foundation of India© 2026 Orthopedic Professional Network

Thesis

Ponseti Method in Delayed-Presentation Clubfoot: A Thesis

Correction and relapse outcomes when the Ponseti method is applied to children presenting after walking age, with brace adherence tracked objectively.

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Specialty

Pediatric Orthopedics

Location

Bhopal, Madhya Pradesh

Published

14 Oct 2024

Research type

Prospective Study

clubfootPonsetibracingrelapse

Abstract

Demo abstract. Children presenting beyond eighteen months underwent standard Ponseti casting with modified brace protocols; correction and relapse were followed for two years.

Description

The thesis specifically examined whether the method retains value outside its classic age window in a resource-constrained setting.

Brace adherence was recorded through parent diaries cross-checked at each visit.

Innovation / discovery

A simple pictorial brace diary improved reporting quality among caregivers with limited literacy.

Surgical / procedural method

Serial casting, percutaneous tenotomy where indicated, foot abduction bracing, Pirani scoring at each visit.

Research findings

  • Initial correction was achievable in most demo cases, with more casts required than in infants.
  • Relapse tracked closely with recorded brace hours.
  • Distance to the clinic was the strongest predictor of missed follow-up.

Attached documents

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PDF5.2 MB

Thesis document

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PDF340 KB

Brace diary template

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