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Club foot

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Although the Ponseti Method is highly effective in idiopathic clubfeet, some clubfeet – especially those in older children or those that are secondary to neuromuscular disease – will be resistant to this non-operative treatment regimen and require more dramatic surgical intervention. Surgery is normally performed at 9-12 months of age. The goal of surgery is to correct all the deformities in one operation. The surgical procedure varies from patient to patient but generally involves releasing all joint capsule contractures, lengthening any shortened muscle-tendon units, and realigning the bones of the foot. Metal pins are used to maintain the proper alignment post-operatively.