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The Journal of Bone and Joint Surgery (American) 86:1830-1832 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.


Letter to the Editor

Long-Term Comparative Results in Patients with Congenital Clubfoot Treated with Two Different Protocols

Kajal B. Mukerjee, MD1

1 B 13/106 Sonarpura
Varanasi-221001, U.P.
India
kbmukherjee@bst.rcsed.ac.uk


The first 150 words of the full text of this article appear below.

To The Editor:

I read with interest the article entitled "Long-Term Comparative Results in Patients with Congenital Clubfoot Treated with Two Different Protocols" (2003;85:1286-94), by Ippolito et al. I wish to heartily congratulate Dr. Ippolito and his team for convincingly demonstrating the unfavorable long-term outcome after extensive soft-tissue release for the treatment of severe idiopathic clubfoot deformity. Also, Ponseti's method of manipulation and limited posterior release has been convincingly offered as a superior alternative. Certainly, this reportedly more effective method has demonstrated a very impressive long-term outcome. In essence, this article tends to raise doubts about the widespread and perhaps empirical use of conventional methods of manipulation and soft-tissue release1-6. On the contrary, early soft-tissue release, including varying degrees of extensive medial release, for the treatment of moderate-to-severe clubfoot deformity has been an increasingly popular trend for the last two decades with very . . . [Full Text of this Article]

Ernesto Ippolito, MD, Pasquale Farsetti, MD, Roberto Caterini, MD and Cosimo Tudisco, MD

Corresponding author:
Ernesto Ippolito, MD
Department of Orthopaedic Surgery
University of Rome "Tor Vergata"
Viale Oxford 81
00133 Rome
Italy
e.ippolito@mclink.it


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Related articles in JBJS:

Long-Term Comparative Results in Patients with Congenital Clubfoot Treated with Two Different Protocols
E. Ippolito, P. Farsetti, R. Caterini, and C. Tudisco
JBJS 2003 85: 1286-1294. [Abstract] [Full Text]