This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Take the CME quiz:
 Vol. 15 No. 5, May 2006
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Schwend, R. M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Schwend, R. M.

AAP Grand Rounds 15:59-60 (2006)
© 2006 American Academy of Pediatrics

ORTHOPAEDICS

Idiopathic Clubfoot Deformity in Infants Is Best Treated with Conservative Techniques

Source: Tindall AJ, Steinlechner CWB, Lavy CBD, et al. Results of manipulation of idiopathic clubfoot deformity in Malawi by orthopaedic clinical officers using the Ponseti method. A realistic alternative for the developing world? J Pediatr Orthop. 2005; 25:627–629.[Medline]

The first 20% of the full text of this article appears below.

The authors from the BEIT Trust CURE International Hospital working in Malawi adapted a well-accepted method of conservative clubfoot correction, the Ponseti method, to the conditions of their population. Malawi has 12 million mostly poor and rural people and only 4 orthopaedic surgeons. Congenital clubfoot deformity is twice as common there as it is in Western Europe and is a major cause of disability in children and adults. Orthopaedic clinical officers (OCOs) who have received additional training after secondary school as medical assistants followed by an 18-month diploma course in orthopaedics are used extensively to care for a wide range of musculoskeletal conditions. They work in isolation and provide the only orthopaedic care to . . . [Full Text of this Article]

Richard M. Schwend, MD, FAAP
Pediatric Orthopaedics, University of New Mexico, Albuquerque, NM