The Treatment of Recurrent Congenital Clubfoot

Foot Ankle Clin. 2021 Dec;26(4):619-637. doi: 10.1016/j.fcl.2021.07.001. Epub 2021 Aug 8.


The Ponseti method for treatment of congenital clubfoot is well established and has been introduced in most pediatric orthopedic centers worldwide. However, reported rates of recurrence are largely variable and open joint surgery is still performed frequently, even in the age group younger than 6 years of age. Preventing recurrence and residual deformity can be achieved by strict adherence to the Ponseti method, ensuring and enforcing brace compliance, frequent follow-up, and early treatment of recurrence. This review discusses reasons for clubfoot recurrence, prevention of clubfoot recurrence, and the treatment of recurrent congenital clubfoot within the realm of the Ponseti method.

Keywords: Achilles lengthening; Clubfoot; Ponseti; Recurrent clubfoot; Tendon transfer.

Publication types

  • Review

MeSH terms

  • Braces
  • Casts, Surgical
  • Child
  • Clubfoot* / surgery
  • Follow-Up Studies
  • Humans
  • Manipulation, Orthopedic
  • Recurrence
  • Treatment Outcome