The Nursing Role in Management of Patients with Clubfoot Undergoing Ponseti Method

Abstract

Clubfoot (congenital talipes equinovarus) is a congenital foot deformity characterized by inward foot twisting (adduction), a high arch (cavus), upward turning of the sole (varus), and downward pointing of the toes (equinus). The exact cause remains unknown. Infants usually do not experience pain, but without treatment, the condition can lead to permanent deformity, affecting mobility and long-term quality of life. The most effective treatment currently is the Ponseti method, which involves serial casting, percutaneous Achilles tenotomy, and continuous use of a foot abduction brace. Nurses play a crucial role from the early screening of newborns to ensure timely treatment, caring for patients throughout the treatment process, educating caregivers on cast care, monitoring for complications, and emphasizing the importance of brace compliance to prevent recurrence and promote long-term quality of life. This article aims to provide knowledge about clubfoot, covering its diagnosis, treatment approaches, and the nurse’s role in the Ponseti method, with a focus on ensuring safe patient care, reducing caregiver anxiety, and providing appropriate guidance.