Description
The presentation by Haemish Crawford highlights the complexities of treating clubfoot deformity, particularly in the indigenous populations of New Zealand. Crawford discusses the significance of the Ponseti Technique, revealing initial misconceptions regarding its efficacy and noting the prevalence of surgical interventions needed even after treatment. He presents data on treatment outcomes, emphasizing that while the Ponseti Technique shows superior long-term results and fewer complications compared to traditional surgical methods, it does not completely eliminate the need for surgery in many cases. Crawford articulates a series of philosophies guiding the management of recurrent clubfoot, advocating for early intervention, soft tissue releases, and prudent use of bone surgeries such as osteotomies, all while considering the overall alignment and function of the foot and limb. He underscores the importance of staging procedures when correcting complex deformities and ultimately advises a thorough assessment of the deformity followed by tailored treatments to achieve the best outcomes.
DOI: 10.1302/3114-240790