Higher Rates of Achilles Tenotomy after a Didactic Session on Ponseti Method



Sriram Chandra Bhanja Medical College and Hospital, Mangalabagh, Cuttack, Odisha, India


We have conducted a retrospective study to know the impact of a didactic sitting on the Ponseti method of clubfoot management. We have compared the outcome of patients managed by orthopaedic residents who attended such a session with that of patients treated by residents who didn’t get this additional training. The results revealed that the frequency of PTA tenotomy was significantly higher in the additionally-trained group compared to the classically-trained group, which emphasises the role of regular such meetings.


1. Global clubfoot initiative [Internet]. [Place unknown]:
Global Clubfoot Initiative; 2017[Updated 2019
October 2; Cited 2020 January 19]. Available from:
2. Harmer L, Rhatigan J. Clubfoot care in low-income and
middle-income countries: from clinical innovation to
a public health program. World journal of surgery.
2014; 38(4):839-48.
3. Boardman A, Jayawardena A, Oprescu F, Cook T,
Morcuende JA. The Ponseti method in Latin America:
initial impact and barriers to its diffusion and
implementation. The Iowa orthopaedic journal. 2011;
4. Gadhok K, Belthur MV, Aroojis AJ, Cook T, Oprescu
F, Ranade AS, et al. Qualitative assessment of the
challenges to the treatment of idiopathic clubfoot
by the Ponseti method in urban India. The Iowa
orthopaedic journal. 2012; 32:135.
5. Lu N, Zhao L, Du Q, Liu Y, Oprescu FI, Morcuende JA.
From cutting to casting: impact and initial barriers to
the Ponseti method of clubfoot treatment in China.
The Iowa orthopaedic journal. 2010; 30:1.
6. Bergerault F, Fournier J, Bonnard C. Idiopathic
congenital clubfoot: Initial treatment. Orthopaedics
& Traumatology: Surgery & Research. 2013; 99(1):