Ignacio Ponseti Foundation Poland

Strona główna
Polska
Warsaw
Ignacio Ponseti Foundation Poland

Ignacio Ponseti Foundation in Poland is a charity organization for clubfeet babies in Poland.

21/01/2026

Should a child with clubfoot wear any special clothes? Yes and no 😊

During casting, clothes from the waist down should be a bit wider, and during bracing: NO FEET!

Find out from our article WHICH types of clothing are optimal for younger and older children with clubfoot. Link in the comments!

09/01/2026

Are excessive skin wrinkles (folding) on the side of the foot something to worry about? Should anything be done about it?

🧡 Be calm: NO! And NO!

🧡 Excessively wrinkled skin under the lateral malleolus (outer ankle) is a completely normal, non-concerning phenomenon that we observe during cast changes. It is most noticeable after removal of the final cast (in about 95% of cases, the one applied after percutaneous Achilles tendon tenotomy).

🧡 Why do these wrinkles occur?
At the beginning, when a clubfoot is positioned inward, the skin on the outer side of the foot is stretched. As the foot is corrected—meaning it is gradually abducted (moved outward) in the plaster cast—excess skin develops in this area. This excess skin forms characteristic folds (as you can see in the photo!).
No need to worry! After a few weeks, the excess skin partially smooths out, and once the child begins to walk independently, it almost completely disappears.

🧡 IMPORTANT!
In the early period (right after cast removal), the skin in this area may peel more, have a yellowish color, and smell unpleasant. The folds may also stick together due to moisture and dead skin buildup. Proper hygiene of these skin folds is essential to prevent cracking of the skin between them and subsequent infection.
Gently washing the area with clean water and mild soap, carefully dabbing (do not rub!) with a cotton swab and a towel, and ensuring the area is completely dry will eliminate these problems!

Read more about treatment step-by-step and be more knowleadge! Link in first comment 😀

07/01/2026

ONLY A FULLY CORRECTED FOOT MAY BE PLACED IN A FOOT ABDUCTION BRACE!

This means that an uncorrected foot must not be placed in a brace.
But what does “corrected” actually mean?

A corrected foot means:
🧡 full range of motion – the foot can be abducted easily and dorsiflexed without resistance (dorsiflexion should be greater than 10 degrees)
🧡 the sole of the foot is flat, not convex
🧡 the big toe is long, not pushed into the foot and not pointing upward
🧡 there are no skin creases on the foot: above the heel, along the lateral border of the foot, or across the midfoot
🧡 the heel bone (calcaneus) is palpable and hard – the heel is not soft or “empty.”

In medical terms: 🧡 cavus (C), 🧡 adductus (A), 🧡 varus (V), and 🧡 equinus (E) are NOT present.

Read more in our article (link in comment)!

29/12/2025

🧡 Does an ultrasound give 100% certainty that a child will be born with clubfoot?

💛 Despite increasingly sensitive diagnostic probes, better and better ultrasound machines, and continuous progress in medicine and imaging diagnostics, many children who are diagnosed prenatally ultimately do not have congenital clubfoot. Some studies report that the risk of detecting a false positive (FP) diagnosis is as high as 30%, which is a significant proportion.

💛 This happens because ultrasound examination does not allow for such precise differentiation between the types of conditions: true (structural) clubfoot, which requires treatment, and positional foot deformities, which usually do not require treatment with the Ponseti method. Another challenge is distinguishing isolated clubfoot from more complex deformities, or differentiating clubfoot from simple forefoot adduction.

Learn more! Link in the first comment!

23/12/2025

Dear Parents and Friends,

From the bottom of our hearts, we wish you peace, hope, and strength — the quiet, everyday kind that helps you move forward even when the path is difficult.
We wish you faith in your children and in yourselves, because your attentiveness, love, and determination are the foundation of their future.

May each new day bring you both small and great reasons for joy, and may your children’s progress fill you with pride and encouragement.
We also wish you support — people who understand, help, and walk alongside you when you need it most.

Thank you for being who you are — for your courage, commitment, and your unwavering fight for your children’s health and mobility.
Remember: you are not alone.

With warmth and support,
The Ponseti Foundation

10/12/2025

🧡 Neurogenic clubfoot – what is it?

Neurogenic clubfoot is a deformity associated with other congenital conditions of neurological origin, such as cerebral palsy, spina bifida and its variants, tethered spinal cord, or other types of paralysis. This type of clubfoot is often more difficult to treat due to the underlying neurological disorders, whose course can be hard to predict.

However, the treatment of choice is the Ponseti method :) — read more about it (link in the comments).

05/12/2025

How shouldn’t Ponseti casts look?

🧡 An incorrectly applied cast can halt treatment progress or even worsen the clubfoot deformity. Too short, poorly molded, with a flattened heel, a pronated forefoot, or without adequate knee flexion — each of these mistakes increases the risk of complications, including cast slippage or the development of a complex deformity.

A proper cast is one that meets 🧡 the principles of the Ponseti method 🧡: precise, well-fitted to the child, stable, and carefully molded. The quality of the cast directly affects the safety and effectiveness of the treatment.

📚

03/12/2025

🚗 Important safety message for parents of children with clubfoot!

Did you know that traveling with your child while they are wearing the Foot Abduction Brace can be extremely dangerous — even on the shortest drive?
In our article “Seven kilos to the head”, we explain why (link in comment).

💥 In a 50 km/h (31 mph) crash, every person and every unsecured object inside the car is subjected to forces that can increase its effective weight 20–30 times.
That means a derotation brace weighing only 235 g (0.5 lb) can hit your child with the force of 4.7–7 kg (10–15 lb) — and its most likely trajectory sends it straight toward the child’s head.

🧡 This is why the brace MUST ALWAYS be removed before the car starts moving — whether you’re driving 5 minutes or 5 hours.

👉 When you arrive home, simply put the brace back on.
You cannot make up lost bracing time the next day — and you don’t need to. Your child’s safety comes first. 💛

There is still a lack of crash-test research involving orthopedic devices like eg. the Ponseti brace — but common sense is clear here: securing a child correctly in the car saves lives.

💬 If you are a professional — please share this with parents.
If you are a parent — please read the article and keep your child safe!

01/12/2025

Is a clubfoot shorter? Why? And is it always a reason to worry?

🧡 In clubfoot, a difference in foot length is very common. It’s a result of the condition itself — the total volume of the hindfoot is about 20% smaller, the talus ossification center has around 40% reduced volume, and the calcaneus around 20%. The talus in a clubfoot is about 8.2% shorter compared to a healthy foot. We also see shortened tendons and ligaments on the medial and plantar side of the foot.

Key facts:
👣 A shorter foot does not mean worse function.
👣 Children with a smaller foot can run, jump, and play sports without limitations.
👣 Ponseti treatment helps the foot become flexible, well-aligned and pain-free — even if it remains smaller.
👣 The size difference may decrease with growth, but usually some remains — and that’s OK.

A shorter foot does not define a child. Their strength, determination, and proper treatment make the real difference. 💪✨

🧡 The knowledge you need. The support you’re looking for.

27/11/2025

🧡 A percutaneous tenotomy is a small and minimally invasive surgical procedure during which the Achilles tendon is cut beneath the skin through a tiny opening made with a small instrument (such as a needle or a small cataract blade), without making a large incision (as shown in the picture). It can be successfully performed in an outpatient setting.

🧡 In the treatment of clubfoot using the Ponseti method, it typically refers to cutting the Achilles tendon to correct the equinus deformity, to release the tight tendon, and to improve the range of motion of the joint.

Photo: Ey Batlle, A.; Jordan, I.; Miguez Gonzalez, P.; Vinyals Rodriguez, M. Comparative Study of Acute Stress in Infants Undergoing Percutaneous Achilles Tenotomy for Clubfoot vs. Peripheral Line Placement. Children 2024, 11, 633. https://doi.org/10.3390/children11060633

22/11/2025

🧡 The knee in the cast must be flexed to 90° (atypical and/or complex clubfoot: 110°–120°). Why? This position is not only practical — the cast does not slip — but above all has a medical (therapeutic) purpose.

🧡 The foot can be maintained in abduction only when the talus, the ankle, and the leg are stabilized by a toe-to-groin plaster cast, with the knee flexed at 90°. A cast ending just below the knee cannot immobilize the foot strongly in abduction under the talus. The reason is that an infant’s leg is rounded, and the anterior crest of the tibia is covered with fatty tissue, which prevents proper molding of the cast — as a result, it rotates inward together with the foot. Consequently, the stretch of the tarsal ligaments and the posterior tibial tendon achieved by manipulation is lost, and the hindfoot varus and forefoot adduction remain uncorrected.

🧡 Therefore, a knee bent to 90° blocks the inward rotation of the talus and protects the correction of the foot achieved by manipulation. This is when real correction occurs. If the knee is not fully flexed, the foot is only partially corrected…

03/10/2025

🚫 Invasive surgeries – listed below – are NOT the correct treatment for congenital clubfoot.
The proper treatment is the Ponseti method. Every time we hear that yet another child has been subjected to these procedures, it truly saddens us. 😔

We firmly say STOP to operations such as:
⛔️ Posteromedial release (PMR)
⛔️ Posterior release (PR)
⛔️ Total clubfoot release via Cincinnati or Turco approach
⛔️ Achilles tendon lengthening using open techniques (e.g., Z-tenotomy or “mini-open” method)
⛔️ Lateral (medial) release
⛔️ Dorsal release
⛔️ McKay, Turco, Goldner methods
⛔️ Dwyer or Evans osteotomy

🧡 Follow us on Facebook and/or Instagram and share the knowledge with others!

Adres

Grodkowska
Warsaw
01-461

Godziny Otwarcia

10:00 - 14:00

Telefon

+48578604077

Strona Internetowa

http://ponseti.eu/

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