DOS 2018

DOS Kongressen 2018 · 185 Accelerated Ponseti method is an effective treatment for Congenital Clubfoot Vilhelm Engell, Mathias Bünger, Ole Rahbek, Søren Ege Ortopaedic department, Aarhus University Hospital; Rehabilitation, Aarhus University Hospital Background: The Ponseti method (PM) is the gold standard in the treatment of Congenital Clubfoot. We report our results and experience with accelerated Ponseti method(APM) in a consecutive prospective series of clubfeet. Purpose / Aim of Study: In APM the rate of manipulation and casting is twice or three times a week thus reducing the time to correction Materials and Methods: In this consecutive prospective series we included all clubfeet treated with APM at the department in 2016. Controls were clubfeet treated with PM in 2015 and Follow-up was at 1 year Findings / Results: APM reduced the manipulation and casting time by 40 % from 32 to 19 days (P=0,0002).Tendo Achilles Lenghtening (TAL) was per- formed in 28 clubfeet (97 %) in APM and 25 clubfeet (89 %) in PM (P=0,3525). No skin problems in any of the groups During follow-up we had two patients (10%) relapse with tightness of the dorsiflexion in both groups (P=1). All were treated with (re)casting and a second TAL Conclusions: All feet were corrected with the APM. The rate of relapse with the APM is not higher than in clubfeet treated with the PM. This is preliminary results, with a short follow-up. We note the reduction in time to correction is significant and consider APM safe. 126.