Product Description
University of Iowa, Iowa City. Text on orthopedic approaches to clubfeet, for practitioners. Explores techniques that exploit the natural advantages of young tissues and bones which result in positive responses to manipulation and casting treatments. Covers gross and microscopic anatomy. DNLM: Clubfoot - pathology. ... Read more

Customer Reviews (3)

This is what clinched our decision.....
I had a child born in 3/99 with clubfeet also and when we heard about Dr. Ponseti we read this book.Not only does it include all of the details for doctors, but it includes the results of 4 different follow-up studies conducted on Dr. Ponseti's patients.The thing that made up our minds was in the undeniable results of the follow-up studies that spoke volumes about the nearly non-surgical success of this method.There is only 1 study I know of that followed up on surgical patients and here Ponseti has 4.
As far as reading, the book was not too difficult to comprehend although I did initially skip a few of the more medically worded sections.Initially, I was more interested in the results of the follow-up studies. Eventually, I was able to figure out more than I already knew about the anatomy of the foot by some of the simple drawings in the book and repetative reading.
A good resource for the parent who's doing research and a good beginning for a surgeon interested in improving his or her casting success, although I can't deny the importance of surgeons receiving proper training in the technique.Reading the book does not make a surgeon well trained in this method in my opinion.As another reivewer stated...the 'devil's' in the details.

After reading this book, we switched doctors.
Our child was born 3-17-99 with what our local pediatric orthopedic surgeon had described as moderately severe bilateral clubfeet. Like any parent, we were concerned about finding the best treatment method possibleto help our child.Although we believe that our initial doctor was veryqualified in the surgical training and experience he had, we kept hopingthat there was a non-surgical alternative that was at least as good, if notbetter.

In the first month after birth, we talked to many medicallytrained friends and relatives.We read Dr. Ponseti's book as well as twoother traditional surgical method books.There were 10 clubfoot internetweb sites we reviewed, including Dr. Ponseti's at the University of IowaVirtual Hospital web site. We also called 7 pediatric orthopedic surgeonsaround the country.

In our research we discovered that there is not auniversally accepted method of treatment. Although all doctors begin withtrying to correct it with casting, most currently seem to end up treatingit surgically 65-90% of the time at between 3 months to 1 year of age.Dr.Ponseti's method is the only one we encountered where, after his castingtechnique, only 5% of the children were recommended for surgery.The bookdetails this method and the result of 40+ years of long term follow upstudies of his patients.

Our initial doctor had said repeatedly that ourchild would have to have surgery at 6 months of age. When our child was sixweeks old, after 4 weeks of parent research, we decided to try Dr.Ponseti's casting technique to see if it would work.We felt that if itdidn't work, our child would only be 3 months old and could still havesurgery at 6 months of age.

Anyway, our child has been out of the Ponsetimethod casts for 6 weeks now and his feet look very close to perfectlynormal.Our local doctor said that his feet looked as corrected as he hadhoped to get them by doing surgery.Everything so far has gone exactly atrepresented in Dr. Ponseti's book.I would highly recommend this book forany parent trying to decide a course of treatment for their child.

"Should be read and re-read by all pediatric orthopaedists!
At 85 years young, Ignacio Ponseti is still vigorously teaching pediatric orthopaedics through his latest publication, Congenital Clubfoot : Fundamentals of Treatment.This highly readable work is the opus magnus ofa master surgeon who has reviewed and critically analyzed nearly 50 yearsof personal experience in treating congenital clubfoot.His message isunique, as he is a nearly lone advocate of his conservative method oftreatment, in which only minimally invasive procedures are employed.Whileminimally invasive surgery may be popular, it is not de rigeur amongstclubfoot surgeons.Most pediatric orthopaedic surgeons advocate extensiveopen joint releases and tendon lengthenings.All too often, the result isa stiff, scarred, weak foot.Ponseti's book demonstrates that it ispossible, using his carefully honed method, to achieve a beautiful, suppleand strong foot with simple casting and a percutaneous Achilles tenotomy. As with most things, the devil is in the details.This book describes,therefore, in great detail, how any orthopaedic surgeon can achieve thesame results.Every clubfoot surgeon does preliminary casting, but mostwill concede that major surgery is required in 60-90% of patients.Whythen, does only Ponseti (and his acolytes) obtain such reliably goodresults from casting?As Ponseti explains it, most orthopaedic surgeons donot know the proper method of casting.To summarize, Ponseti lifts up onthe first metatarsal for the first cast.This may appear to paradoxicallysupinate the foot even more, but in fact, it serves to make the slightlysupinated forefoot match the even more supinated hindfoot. Thus, the cavuscomponent is decreased.Ponseti's golden rule: Never actively pronate thefoot!Each subsequent weekly cast is applied after manipulation using pureabduction of the forefoot, with NO pronation, except that amount that comesnaturally as the calcaneus rotates under the talus.Ponseti points outthat one should never apply counter pressure on the outside of thecalcaneus.Instead, he applies counter pressure on the neck of the talus. Another inviolate Ponseti principle is to always use a long leg cast, bent90 degrees at the knee.This is the only way to control rotation.Mostpatients will have some residual equinus after 4 to 6 casts, and in thissituation, Ponseti advocates a percutaneous tenotomy of the Achillestendon, under local anesthesia in the cast room.In this age of costcontainment, this approach makes great fiscal sense.I have used Ponseti'smethod 18 times in the past two years, and I have found patients andfamilies to be quite tolerant of this "office surgery".It is,after all, less invasive than a circumcision.After the tenotomy, a finalcast is applied for three weeks.When this cast is removed, the child isplaced into straight last shoes with a Denis Brown bar set at 70 degreesexternal rotation (45 degrees on the normal side, for unilaterals).Nowhere's the catch: they must wear this device day and night for two months,and night time only for two to three years.Despite this, about 35 percentof patients will need a lateral transfer of the tibialis anterior tendon,for slight residual supination.Not a bad price to pay for a foot that isremarkably supple, with excellent strength.Ponseti has studied hispatients at long term follow-up (something that nearly only takes place inIowa), and found normal strength and function, as compared to a normalcontrol population.True, there are often radiographic abnormalities, butnot arthritic changes, as one may see on an extensively operated, stifffoot.This book should inspire pediatric orthopaedists to take a freshlook at this time-tested and proven method of obtaining excellent resultsin clubfeet without major surgery.There are two major requirements,however: a cooperative family, that will continue using the Denis Brownebar for two years, and a dedicated surgeon, who will read Ponseti's bookcarefully, and apply each principle as described.Shortcuts, such as notusing the Denis Browne bar, or not using long leg casts, will surely resultin failure.One word of caution: if you adopt Ponseti's method, as I have,then you will experience a noticeable drop in your income.Instead of anexpensive open posteromedial release, you will be doing a relativelyinexpensive percutaneous tenotomy.However, the satisfaction of seeingsupple, fully corrected feet resulting from conservative treatment will beits own reward.One final note: if Ponseti's method is so effective, whyis it not widely used?The fault lies with two parties: we the orthopaediccommunity, and Ignacio Ponseti himself.We tend to be conservative, closedminded, and not open to new ideas.Ponseti has been guilty, at least untilhe published this book, of not arguing forcibly enough to promote hisideas.Those who personally know "Papa" Ponseti understand thathe is gentle, soft-spoken, non-bombastic, and non-dogmatic.As a result,his quiet voice has been drowned out by the more self-promotingpersonalities in our profession.Now in the twilight of his career,Ponseti has realized how important it is to teach his method to a wideraudience than just residents at the University of Iowa.In this book, hehas done an admirable job of explaining and illustrating his method.It isup to the rest of us, now, to carefully read, digest, and apply hisprinciples.Generations of clubfoot babies will thank us. ... Read more

Product Description
The Man with the Clubfoot is presented here in a high quality paperback edition. This popular classic work by Valentine Williams is in the English language. If you enjoy the works of Valentine Williams then we highly recommend this publication for your book collection. ... Read more

Customer Reviews (1)

Williams was the Robert Ludlum of his time!!!!
In "The Man with the Clubfoot," Valentine Williams has written a thriller of mystery, love and intrigue, that in every sense of the word may be described as a roller coaster - written at a time when German was the country of villains, (remember when it was the USSR?now its the Taliban...), and the Kaiser is the bad guy...by adult son read this in one or two sittings.

Williams was the Robert Ludlum of his time,...one heroic man, or a small group of crusading individuals, in a struggle against powerful adversaries whose intentions and motivations are evil, adversaries capable of using political and economic mechanisms in frightening ways - this is the story of The Man With the Clubfoot!

A great read! ... Read more

Product Description
Medical College of Wisconsin, Milwaukee. Papers from the First International Congress on Clubfeet, Medical College of Wisconsin, Milwaukee, September 5th and 6th, 1990. For orthopedic surgeons. 163 international contributors, primarily U.S. DNLM: Clubfoot. ... Read more

Product Description
This is a reproduction of a book published before 1923.This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process.We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide.We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book. ... Read more

Product Description
This is an EXACT reproduction of a book published before 1923. This IS NOT an OCR'd book with strange characters, introduced typographical errors, and jumbled words.This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process. We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide. We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book. ... Read more

Product Description
This is a reproduction of a book published before 1923.This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process.We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide.We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book. ... Read more

Product Description
This is an EXACT reproduction of a book published before 1923. This IS NOT an OCR'd book with strange characters, introduced typographical errors, and jumbled words.This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process. We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide. We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book. ... Read more

Product Description
The book has no illustrations or index. It may have numerous typos or missing text. However, purchasers can download a free scanned copy of the original rare book from the publisher's website (GeneralBooksClub.com). You can also preview excerpts of the book there. Purchasers are also entitled to a free trial membership in the General Books Club where they can select from more than a million books without charge. Original Publisher: J. Churchill; Publication date: 1866; Subjects: Clubfoot ... Read more

Product Description
This scarce antiquarian book is a selection from Kessinger Publishing's Legacy Reprint Series. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment to protecting, preserving, and promoting the world's literature. Kessinger Publishing is the place to find hundreds of thousands of rare and hard-to-find books with something of interest for everyone! ... Read more

Product Description
This scarce antiquarian book is a selection from Kessinger Publishing's Legacy Reprint Series. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment to protecting, preserving, and promoting the world's literature. Kessinger Publishing is the place to find hundreds of thousands of rare and hard-to-find books with something of interest for everyone! ... Read more

Product Description
This digital document is an article from Gale Encyclopedia of Medicine, 3rd ed., brought to you by Gale®, a part of Cengage Learning, a world leader in e-research and educational publishing for libraries, schools and businesses.The length of the article is 1425 words.The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase.You can view it with any web browser.The third edition of this authoritative, comprehensive, in-depth medical guide features information on medical topics in language accessible to adult laypersons. Disease/disorder articles typically cover definition; description; causes and symptoms; diagnosis; treatments; prevention; and more. Test/treatment articles typically cover definition; purposes; precautions; preparation; risks; normal and abnormal results; and much more. ... Read more