Pediatric Orthopedic Society of North America Annual Convention - May 14, 05

[Guest guest]

The Pediatric Orthopedic Society of North America (POSNA) is having

it's annual Convention on May 11-15, 2005 in Ottawa, Canada. It is

interesting that 5 of the 7 papers are on non-surgical methods of

treatment. The papers also include 4 of 7 with information on the

Ponseti method.

In a number of prior studies, the Ponseti " non-surgical " method has

been shown to be effective for almost all children with regular

clubfoot. A major recent Ponseti method study was published a year

ago in the Journal of Pediatrics at

http://pediatrics.aappublications.org/cgi/content/abstract/113/2/376

A year or two ago, a study on the effectiveness of the Ponseti

method for Arthrogrypotic clubfoot was released. This year, 2

studies focus on the use of the Ponseti method for other more

difficult types of clubfoot; verticle talus and syndromic feet in

Myelodysplasia [spina bifida].

The following are all of the clubfoot related medical study papers

being presented at that meeting.

7:36 am - 7:40 am 30

A Prospective, Randomized, Double-Blind Study of the Usefulness of

Botox as an Adjunct to Serial Manipulation and Casting for Cogenital

Clubfeet

R Jay Cummings, MD (n); Shanks, MD (n) [i believe that Dr.

Cummings is from Delaware]

7:41 am - 7:45 am 31

Gait Analysis of Children Treated Non-Operatively for Clubfoot:

Physical Therapy versus Ponseti Casting

LA Karol, MD (n); R El-Hawary, MD (n); K Jeans, MS (n); BS s,

MD (n) [These doctors are from Texas ish Rite Hospital in

Dallas]

7:46 am - 7:50 am 32

Clubfoot Relapses after Correction with the Ponseti Method

A Morcuende, MD, PhD (n); Lovell, MS (n); Lori Dolan,

PhD (n); Ignacio Ponseti, MD (n); Fred Dietz, MD (n) [univerity of

Iowa Hospitals and Clinics]

7:51 am - 7:55 am 33

Use of the Ponseti Method for the Treatment of Clubfoot Associated

with Myelodysplasia [spina Bifida]

B Dobbs, MD (n); Morcuende, MD, PhD (n); Ignacio

Ponseti (n) [shriners in St. Louis and Univerisity of Iowa]

7:56 am - 8:08 am

Discussion

8:09 am - 8:13 34

Bilateral Cavovarus Feet and Their Relationship to Charcot-Marie-

Tooth Disease

T Guille, MD (n); Gilbert Chan, MD (n); Nagai, MD, PhD (n)

8:14 am - 8:18 am 35

Cast Correction of Congenital Vertical Talus in Twenty-Seven

Consecutive Feet

B Dobbs, MD (n); Morcuende, MD, PhD (n)

[shriners in St. Louis and University of Iowa]

8:19 am - 8:23 am 36

Dorsal Bunion Deformity Following Clubfoot Release

A , MD (n); Ken Kuo, MD (n) [Primary Children's Medical

Center in SLC, Utah and Shriners in Chicago]

http://www.posna.org/index?service=page/scientificProgram2005

Last November 2004, the POSNA web site finally posted a link in

their Patients Information Section on the Clubfoot that included

reference to the Ponseti method. They stated, " Over the past 5 to 10

years, more and more success has been achieved in correcting

clubfeet without the need for surgery. A particular method of

stretching and casting, known as the Ponseti method, has been

responsible for this. "

http://www.orthoinfo.org/fact/thr_report.cfm?

Thread_ID=161&topcategory=Children

POSNA also provides this explanation of Clubfoot in it's CORE

cirriculum series which has been then for 2-3 years.

http://www.posna.org/resources/coreCurriculum/pdf/clubfootInfant.pdf

and (3-17-99)

http://www.vh.org/pediatric/patient/orthopaedics/clubfeet/egbert.html