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