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Clubfoot: Ponseti Management
Early Detection and Correction of Clubfoot will
save your child’s feet!

Jennifer Wambui; Chief Exec.
Director, CaCAI
Clubfoot on my left foot never stopped
me from being a photo-model!
…Or a gospel artist
….Or be a TV actress
….Or try to be a
It wasn’t easy nevertheless!
I had to go through an excruciating
pain of six surgeries; painful,
expensive and not very effective!
How I wish doctors then new about
the Ponseti Method……
• I wouldn’t have experienced the dreadful pain
• The method would have corrected my foot
effectively enabling me to wear high- heeled
shoes, which I sorely miss today!
• My parents wouldn’t have spend much money
Hence CaCAI…………
To ensure no other child goes through
this hell, Clubfoot Correction Awareness
Initiative (CaCAI) was born!
CaCAI’s core mission is to…….
• Raise awareness on the need for early
detection and correction of Clubfoot via the
Ponseti Method. Early intervention is painfree, inexpensive and effective.
The Ponseti Method…….
• The Ponseti method is a
manipulative technique
that corrects congenital
clubfoot without
invasive surgery. It was
developed by the late
Dr. Ignacio V. Ponseti of
the University of Iowa,
USA in the 1950s
The Ponseti Method has………
• Over the past decades become accepted
throughout the world as the most effective
and least expensive treatment of clubfoot
When should the Ponseti management
start?
• When possible, start
soon after birth (7 to 10
days). However, most
clubfoot deformities
can be corrected
throughout childhood
using this management.
When treatment is started early, how many
cast changes are usually required?
• Most clubfoot deformities can be corrected in
approximately 6 weeks by weekly manipulations
followed by plaster cast applications. If the deformity
is not corrected after six or seven plaster cast
changes, the treatment is most likely faulty.
When is it late for the Ponseti
Method?
• The goal is to start
treatment in the first
few weeks after birth.
However, correction can
be achieved in many
cases until late
childhood.
Still useful when delayed?
• Management that is delayed until early
childhood may be started with Ponseti casts.
In some cases, operative correction will be
required, but the magnitude of the procedure
may be less than would have been necessary
without Ponseti management.
Did you know……..
• When one parent is affected with clubfoot,
there is a 3% to 4% chance that the offspring
will also be affected. However, when both
parents are affected, the offspring have a 30%
chance of developing clubfoot.
Just so you know……
• Surgery improves the initial appearance of the
foot but does not prevent recurrence. Adult
foot and ankle surgeons report that these
surgically treated feet become weak, stiff, and
often painful in adult life.
Most information is courtesy of…
Global HELP Organization
CaCAI urges you to…
Spread the word. Thank you!
By Jennifer Wambui
All is with my feet!

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Clubfoot:The Ponseti Method

  • 1. Clubfoot: Ponseti Management Early Detection and Correction of Clubfoot will save your child’s feet! Jennifer Wambui; Chief Exec. Director, CaCAI
  • 2. Clubfoot on my left foot never stopped me from being a photo-model!
  • 3. …Or a gospel artist
  • 4. ….Or be a TV actress
  • 6. It wasn’t easy nevertheless! I had to go through an excruciating pain of six surgeries; painful, expensive and not very effective!
  • 7. How I wish doctors then new about the Ponseti Method…… • I wouldn’t have experienced the dreadful pain • The method would have corrected my foot effectively enabling me to wear high- heeled shoes, which I sorely miss today! • My parents wouldn’t have spend much money
  • 8. Hence CaCAI………… To ensure no other child goes through this hell, Clubfoot Correction Awareness Initiative (CaCAI) was born!
  • 9. CaCAI’s core mission is to……. • Raise awareness on the need for early detection and correction of Clubfoot via the Ponseti Method. Early intervention is painfree, inexpensive and effective.
  • 10. The Ponseti Method……. • The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. It was developed by the late Dr. Ignacio V. Ponseti of the University of Iowa, USA in the 1950s
  • 11. The Ponseti Method has……… • Over the past decades become accepted throughout the world as the most effective and least expensive treatment of clubfoot
  • 12. When should the Ponseti management start? • When possible, start soon after birth (7 to 10 days). However, most clubfoot deformities can be corrected throughout childhood using this management.
  • 13. When treatment is started early, how many cast changes are usually required? • Most clubfoot deformities can be corrected in approximately 6 weeks by weekly manipulations followed by plaster cast applications. If the deformity is not corrected after six or seven plaster cast changes, the treatment is most likely faulty.
  • 14. When is it late for the Ponseti Method? • The goal is to start treatment in the first few weeks after birth. However, correction can be achieved in many cases until late childhood.
  • 15. Still useful when delayed? • Management that is delayed until early childhood may be started with Ponseti casts. In some cases, operative correction will be required, but the magnitude of the procedure may be less than would have been necessary without Ponseti management.
  • 16. Did you know…….. • When one parent is affected with clubfoot, there is a 3% to 4% chance that the offspring will also be affected. However, when both parents are affected, the offspring have a 30% chance of developing clubfoot.
  • 17. Just so you know…… • Surgery improves the initial appearance of the foot but does not prevent recurrence. Adult foot and ankle surgeons report that these surgically treated feet become weak, stiff, and often painful in adult life.
  • 18. Most information is courtesy of… Global HELP Organization
  • 19. CaCAI urges you to… Spread the word. Thank you! By Jennifer Wambui
  • 20. All is with my feet!