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Publication Name: THE GAZETTE

Publication Date: 06/18/2004 Headline: Ponseti's gentle method

Byline: Erb Section: D Page: 1

Ponseti's gentle method

Erb

IOWA CITY … The graceful movements of a young girl as she dances and

the blur of a

middle-aged man as he runs past are sights that bring a smile to Dr.

Ignacio Ponseti's

lined face.

Considered a legend by many at University Hospitals, the 90-year-

old orthopaedic doctor has

saved more than 16,000 children from the negative effects of

idiopathic clubfeet … a birth

defect where an infant is born with one or both of its feet twisted

down and inward.

Created more than 60 years ago, the Ponseti method of treatment

was once scoffed at by

pro-surgery doctors.

The method consists of gentle manipulations to the deformed foot

and a series of

approximately five casts that gradually bend the feet and ankles back

into the proper direction.

In 1996, Ponseti published " Congenital Clubfeet: Fundamentals of

Treatment, " a book detailing the method.

Sitting in his office, Ponseti is surrounded by images of his 83-

year-old wife, Helen;

dozens of handcrafted thank-you cards; a giant black and white

photograph of a dissected

clubfoot; and a bookshelf dominated by 43 volumes of Journal of Bone

and Joint Surgery.

" It's such a beautiful thing to see a crippled baby and be able to

heal him, "

Ponseti said, his face crinkling into a warm smile. " They come and

they run and they send

me cards. "

However, there were some doctors that mocked Ponseti's ideas, he

said, arguing that the

method was not suitable for children living in more cosmopolitan

areas such as New York City.

Ponseti said they would tell him that the method worked in Iowa

because " you wear big

boots to go to these muddy fields. "

But now, with Ponseti turning 90 June 3, the method is becoming

nationally recognized as the best treatment for the condition.

The Kaiser Permanente Medical Group, one of California's most

prominent insurance

companies, recently announced that it will only insure the Ponseti

method.

But for Dr. ph Buckwalter, it is not the Ponseti method that

he admires. It is the man

beyond the famed treatment.

" He looks beyond trying to fix fractures and straighten spines, "

the pediatric

oncologist said, adding that unlike most doctors, Ponseti stresses

the importance of treating

the underlying causes of bone diseases.

Ponseti has treated children with various orthopaedic problems

including dwarfism, paralysis

from polio and congenital deformities. But today, he concentrates

solely on children suffering

from clubfoot.

He also established the first connective tissue laboratory in Iowa.

" He taught me values, " Buckwalter said, adding Ponseti is the

oldest doctor on

staff by 18 years.

Dr. Stuart Weinstein, 57, met Ponseti for the first time 39

years ago. He admits that the

" legendary " doctor's fame and accomplishments were already well known

to him and

the rest of his medical class for years.

" I met him as a medical student in the late '60s, " he said, adding

he

originally wanted to go into internal medicine; but after meeting

Ponseti, he opted to stay in

pediatrics. "

" He was my role model, " Weinstein said. " The most important thing

for him was

the patient. "

In 1987, Weinstein was announced as the Ignacio V. Ponseti Chair

and Professor of

Orthopaedic Surgery. " Nothing is more important to me than having a

chair in his

name, " he said. " It is a wonderful honor to have a professorship

named after your

hero. "

Even after Weinstein was announced as the 2005 president for the

American Academy of

Orthopaedic Surgeons, he said he still hopes that Ponseti is proud of

him.

" He's like my family. I want him to be proud of my work as a

doctor, " Weinstein said.

" I view him as my mentor, my colleague and my friend, " he said,

pausing and then

adding, " and my hero. "

For self-described World War II history buff Etre,

administrator for University

Hospital's Orthopaedic Surgery, Ponseti's younger days are what he

finds the most

fascinating.

Born in 1914 in Menorca, Spain, Ponseti fought with the Republican

Army in the Spanish Civil

War against Fascist militants.

After Gen. Francisco Franco triumphed, Ponseti helped injured

Republican officers cross the

border into France in 1939. He later immigrated to Mexico.

After spending a year in Mexico, he moved to Iowa City to work at

University Hospitals

starting on his 27th birthday.

Twenty years ago, Ponseti was forced to retire due to hospital

policies. However, that

retirement quickly ended when the policy was changed. He eagerly

rejoined the staff in 1988 and now sees approximately three patients

a week.

" A retirement for someone who likes his job is a very bad thing, "

he said with a

hint of Catalan-Spanish accent.

As Etre stands in the hospital's Orthopaedic Surgery wing admiring

a glossy photograph

of Ponseti on the wall, Dr. Saltzman walks past, slowing to

glance at the aged face.

" There are very few Ponsetis in the world, " Saltzman said.

Shelle Havelick

Gazette Circulation

ext 8820

shelle.havelick@...

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Publication Name: THE GAZETTE

Publication Date: 06/18/2004 Headline: Ponseti's gentle method

Byline: Erb Section: D Page: 1

Ponseti's gentle method

Erb

IOWA CITY … The graceful movements of a young girl as she dances and

the blur of a

middle-aged man as he runs past are sights that bring a smile to Dr.

Ignacio Ponseti's

lined face.

Considered a legend by many at University Hospitals, the 90-year-

old orthopaedic doctor has

saved more than 16,000 children from the negative effects of

idiopathic clubfeet … a birth

defect where an infant is born with one or both of its feet twisted

down and inward.

Created more than 60 years ago, the Ponseti method of treatment

was once scoffed at by

pro-surgery doctors.

The method consists of gentle manipulations to the deformed foot

and a series of

approximately five casts that gradually bend the feet and ankles back

into the proper direction.

In 1996, Ponseti published " Congenital Clubfeet: Fundamentals of

Treatment, " a book detailing the method.

Sitting in his office, Ponseti is surrounded by images of his 83-

year-old wife, Helen;

dozens of handcrafted thank-you cards; a giant black and white

photograph of a dissected

clubfoot; and a bookshelf dominated by 43 volumes of Journal of Bone

and Joint Surgery.

" It's such a beautiful thing to see a crippled baby and be able to

heal him, "

Ponseti said, his face crinkling into a warm smile. " They come and

they run and they send

me cards. "

However, there were some doctors that mocked Ponseti's ideas, he

said, arguing that the

method was not suitable for children living in more cosmopolitan

areas such as New York City.

Ponseti said they would tell him that the method worked in Iowa

because " you wear big

boots to go to these muddy fields. "

But now, with Ponseti turning 90 June 3, the method is becoming

nationally recognized as the best treatment for the condition.

The Kaiser Permanente Medical Group, one of California's most

prominent insurance

companies, recently announced that it will only insure the Ponseti

method.

But for Dr. ph Buckwalter, it is not the Ponseti method that

he admires. It is the man

beyond the famed treatment.

" He looks beyond trying to fix fractures and straighten spines, "

the pediatric

oncologist said, adding that unlike most doctors, Ponseti stresses

the importance of treating

the underlying causes of bone diseases.

Ponseti has treated children with various orthopaedic problems

including dwarfism, paralysis

from polio and congenital deformities. But today, he concentrates

solely on children suffering

from clubfoot.

He also established the first connective tissue laboratory in Iowa.

" He taught me values, " Buckwalter said, adding Ponseti is the

oldest doctor on

staff by 18 years.

Dr. Stuart Weinstein, 57, met Ponseti for the first time 39

years ago. He admits that the

" legendary " doctor's fame and accomplishments were already well known

to him and

the rest of his medical class for years.

" I met him as a medical student in the late '60s, " he said, adding

he

originally wanted to go into internal medicine; but after meeting

Ponseti, he opted to stay in

pediatrics. "

" He was my role model, " Weinstein said. " The most important thing

for him was

the patient. "

In 1987, Weinstein was announced as the Ignacio V. Ponseti Chair

and Professor of

Orthopaedic Surgery. " Nothing is more important to me than having a

chair in his

name, " he said. " It is a wonderful honor to have a professorship

named after your

hero. "

Even after Weinstein was announced as the 2005 president for the

American Academy of

Orthopaedic Surgeons, he said he still hopes that Ponseti is proud of

him.

" He's like my family. I want him to be proud of my work as a

doctor, " Weinstein said.

" I view him as my mentor, my colleague and my friend, " he said,

pausing and then

adding, " and my hero. "

For self-described World War II history buff Etre,

administrator for University

Hospital's Orthopaedic Surgery, Ponseti's younger days are what he

finds the most

fascinating.

Born in 1914 in Menorca, Spain, Ponseti fought with the Republican

Army in the Spanish Civil

War against Fascist militants.

After Gen. Francisco Franco triumphed, Ponseti helped injured

Republican officers cross the

border into France in 1939. He later immigrated to Mexico.

After spending a year in Mexico, he moved to Iowa City to work at

University Hospitals

starting on his 27th birthday.

Twenty years ago, Ponseti was forced to retire due to hospital

policies. However, that

retirement quickly ended when the policy was changed. He eagerly

rejoined the staff in 1988 and now sees approximately three patients

a week.

" A retirement for someone who likes his job is a very bad thing, "

he said with a

hint of Catalan-Spanish accent.

As Etre stands in the hospital's Orthopaedic Surgery wing admiring

a glossy photograph

of Ponseti on the wall, Dr. Saltzman walks past, slowing to

glance at the aged face.

" There are very few Ponsetis in the world, " Saltzman said.

Shelle Havelick

Gazette Circulation

ext 8820

shelle.havelick@...

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