Maintenance therapy is usually required for up to four years after casting. This involves using a foot abduction splint.
The reported rate of success is upwards of 95% if the casting and post splinting are applied correctly.
Rothbart Proprioceptive Therapy is not indicated and should not be used when treating the Clubfoot Deformity.
Non-surgical treatment of the Clubfoot Deformity - The Ponseti Method
The Ponseti Method (named after Dr Ignacio Ponseti, 1914 - 2009) advocates treating the Clubfoot Deformity with serial casts (See Photos below) starting within the first two to three months after birth.
Typically this incorporates a series of four to six casts over a period of one to two months to reposition and hold the foot in its correct position.
In some cases, a microscopic incision into the Achilles tendon is required toward the end of the serial casting.
Serial Casting - Ponseti Method
Treating the Clubfoot Deformity
Corrected Clubfoot using Ponseti serial casts