Changing paradigm for the treatment of clubfeet

Description: 2005 National Association of Orthopaedic Nurses Volume 24(1), January/February 2005, p 25–30 Shawne Faulks, MSN, RN, CNS , Texas Scottish Rite Hospital for Children, Dallas, Texas. Brenda Luther, MS, RN , Shriners Hospitals for Children, Salt Lake City, Utah. Clubfoot is one of the most common pediatric orthopaedic conditions. Until recently, surgical management was the treatment of choice. Nonoperative treatment techniques, including the Ponseti casting and French physical therapy methods, have peeked interest of orthopaedists eager to find a less aggressive treatment method that can assure a lasting, good result. Both methods have proven successful in reducing the number of patients requiring extensive surgical release and, as a result, have become an integral part of pediatric orthopaedic practice. A clear understanding of both treatment methods is important for the orthopaedic nurse to allow quality nursing care and help assure a successful outcome for young patients.